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Peer-reviewed research

Carpal Tunnel Syndrome in Transthyretin Cardiac Amyloidosis: Implications and Protocol for Diagnosis and Treatment

Ryan P Boyle, Cureus, 2021 · DOI 10.7759/cureus.14546

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Read on October 16, 2026

What it is
A review from Nova Southeastern University that describes transthyretin (TTR) amyloid deposits in the flexor tenosynovium causing carpal tunnel syndrome, and that carpal tunnel syndrome can come years before heart involvement. It presents two patient cases and a diagnostic protocol.
How much weight it carries
Peer-reviewed open-access review. The timing claim draws on other reports and case series, not a prospective cohort, and the paper itself presents two cases. Use the five-to-ten-year interval as an approximate figure.

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