ETABOLIC SYNDROME IN PATIENTS SUFFERING FROM RHEUMATOID ARTHRITIS:- AN EXPERIENCE FROM TERTIARY CARE HOSPITAL
Objective: To identify the frequency of carpal tunnel syndrome (CTS) and metabolic syndrome (MS) in patients suffering
from Rheumatoid Arthritis (RA).
Material and Methodology: This cross sectional study was conducted in Neurology and Medical C wards in Lady
Reading Hospital (LRH), Peshawar for 8 months from 15/02of/2014 to 15/10/2014.The sampling technique was non
probability convenient sampling. Patients with known RA were included in study and looked for CTS and MS. Case with
RA were diagnosed with American College of Rheumatology (ACR) 2010 criteria for RA. CTS was identified by nerve
conduction study (NCS) according to American Association of Electro diagnostic Medicine (AAEM).MS was diagnosed
according to National Cholesterol Education Program Adult Treatment Panel (NICEATP).
Results: out of 193 patients diagnosed with RA 33 patients(17%) patients had CTS and 85 patients (44%) had MS.
While out of 33 patients with CTS and RA 26 (79%) patients had MS as well.
Conclusion: CTS and MS are significantly associated with RA. MS was frequently associated with cases having CTS
Key words: Rheumatoid arthritis, Carpal tunnel syndrome, Metabolic syndrome, frequency, nerve conduction study.