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Working hand syndrome: A new definition of non-classified polyneuropathy condition.

Abstract The aim of this paper was to define an unexplained non-classified polyneuropathy condition as a new neurological disease. This new diagnosis of occupation related polyneuropathy has been named as "WORKING HAND SYNDROME (WHS)."This study collected and compared clinic and electrophysiological analyze data from healthy controls, WHS patients, carpal tunnel syndrome (CTS) patients and polyneuropathy patients. The WHS patients presented to the clinic with pain, numbness, tingling, and burning sensations in their hands that increased significantly during rest and nighttime. However, there was no weakness in the muscles, and the deep tendon reflexes were normal in this disease. The patients had all been working in physically demanding jobs requiring the use of their hands/arms for at least 1 year, but no vibrating tools were used by the patients. All of the cases were men. I supposed that overload caused by an action repeated chronically by the hand/arm may impair the sensory nerves in mentioned hand/arm. In patients with these complaints, for a definitive diagnosis, similar diseases must be excluded. Nonetheless, the specific electrophysiological finding that the sural nerves are normal on the lower sides, as well as the occurrence of sensory axonal polyneuropathy in the sensory nerves without a significant effect on velocity and latency in the work-ups of the upper extremity are enough to make a diagnosis.In conclusion, WHS has been defined as a polyneuropathy and occupational disease. Patients with WHS present with pain, numbness, tingling, and burning sensations in their hands that increases significantly during rest and nighttime. They also use their arms/hands for jobs that require heavy labor. The neurological examinations of patients with WHS are normal. Only the sensory nerves in the upper extremities are affected. This article is suggested to serve as a resource for patients, health care professionals, and members of the neurology community at large.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28640120
OWN - NLM
STAT- In-Process
DA  - 20170622
LR  - 20170622
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 25
DP  - 2017 Jun
TI  - Working hand syndrome: A new definition of non-classified polyneuropathy
      condition.
PG  - e7235
LID - 10.1097/MD.0000000000007235 [doi]
AB  - The aim of this paper was to define an unexplained non-classified polyneuropathy 
      condition as a new neurological disease. This new diagnosis of occupation related
      polyneuropathy has been named as "WORKING HAND SYNDROME (WHS)."This study
      collected and compared clinic and electrophysiological analyze data from healthy 
      controls, WHS patients, carpal tunnel syndrome (CTS) patients and polyneuropathy 
      patients. The WHS patients presented to the clinic with pain, numbness, tingling,
      and burning sensations in their hands that increased significantly during rest
      and nighttime. However, there was no weakness in the muscles, and the deep tendon
      reflexes were normal in this disease. The patients had all been working in
      physically demanding jobs requiring the use of their hands/arms for at least 1
      year, but no vibrating tools were used by the patients. All of the cases were
      men. I supposed that overload caused by an action repeated chronically by the
      hand/arm may impair the sensory nerves in mentioned hand/arm. In patients with
      these complaints, for a definitive diagnosis, similar diseases must be excluded. 
      Nonetheless, the specific electrophysiological finding that the sural nerves are 
      normal on the lower sides, as well as the occurrence of sensory axonal
      polyneuropathy in the sensory nerves without a significant effect on velocity and
      latency in the work-ups of the upper extremity are enough to make a diagnosis.In 
      conclusion, WHS has been defined as a polyneuropathy and occupational disease.
      Patients with WHS present with pain, numbness, tingling, and burning sensations
      in their hands that increases significantly during rest and nighttime. They also 
      use their arms/hands for jobs that require heavy labor. The neurological
      examinations of patients with WHS are normal. Only the sensory nerves in the
      upper extremities are affected. This article is suggested to serve as a resource 
      for patients, health care professionals, and members of the neurology community
      at large.
FAU - Ozdemir, Gokhan
AU  - Ozdemir G
AD  - Ataturk University Medical Faculty, Department of Neurology, Erzurum City,
      Turkey.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/06/24 06:00
MHDA- 2017/06/24 06:00
CRDT- 2017/06/23 06:00
AID - 10.1097/MD.0000000000007235 [doi]
AID - 00005792-201706230-00049 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jun;96(25):e7235. doi: 10.1097/MD.0000000000007235.

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