ABSTRACT
OBJECTIVE: To report the experience gained from the systematic use of a splint immobilising at night the flexion or extension of the carpus of patients affected by nocturnal acroparaesthesiae. DESIGN: Descriptive, observational study. SETTING: Two urban Health Centres. PATIENTS OR OTHERS PARTICIPANTS: Twenty-two patients were studied. These were 6 men and 16 women who attended during the period from June 1991 and June 1992 because of nocturnal acroparaesthesiae in the area innervated by the median nerve. INTERVENTIONS: The treatment used was to immobilize with a splint the flexion and extension of the carpus during the night. After three weeks the results were evaluated. MEASUREMENTS AND MAIN RESULTS: Disappearance of the symptomatology occurred in 8 cases (36.4%). In 10 cases (45.5%), the intensity or frequency of the acroparaesthesiae lessened and in the remaining 4 (18.2%) the symptoms persisted. No significant differences in the therapeutic results could be shown when the patients were grouped in line with clinical or exploratory findings. CONCLUSIONS: On account of the absence of side-effects, its low cost and its being accessible and bloodless, we recommend this treatment as the initial model of therapeutic intervention in Primary Care, while other diagnostic and/or therapeutic possibilities are considered.
Subject(s)
Hand , Paresthesia/therapy , Splints , Adult , Aged , Female , Humans , Male , Middle Aged , Orthopedics , SleepABSTRACT
We present two cases of infection by Coxiella burnetii which developed with sustained fever symptoms. During its evolution, the first case presented granulomatous hepatitis, whereas the second case presented left Cosofemoral Arthritis. We describe the clinical-evolutive characteristics of these clinical forms and within the evolution of the chronic forms of Q fever.
