A 76-year-old female previously diagnosed with flexor tenosynovitis, presented to the clinic complaining of right wrist pain and numbness in her fingers. She was seen again after a rheumatologic workup, which was negative. It was noted that there was thenar atrophy when compared to the contralateral side. She was then scheduled for carpal tunnel release surgery. During surgery, a large area of synovitis was encountered. A radical synovectomy was performed and this tissue was sent for culture and pathology. The findings were most consistent with age-related amyloidosis. One week after surgery, the patient was contacted by telephone and reported that her hand numbness and tingling had significantly improved, and she had resumed most of her daily activities. The patient was counseled regarding her pathology results and other manifestations of amyloidosis. A cardiology consult was recommended.



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.