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Michael A. Rubinstein, MD
Beverly Hills, Calif

JAMA. 1970;213(6):1037.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The carpal tunnel syndrome may be of interest not only to the orthopedic and general surgeons, but also to the specialists in many fields of medicine (212: 1365, 1970). It may also be encountered in hematologic practice, as an illustrative example shows:

Report of a Case.—

A 68-year-old white man was referred to me for hematologic consultation because of elevated white blood cell count of 17,000/ cu mm, and lymphocyte count of 69%. The patient presented himself with signs and symptoms associated chiefly with compression of the median nerve, namely numbness, tingling, and burning in the fingers, as well as hypoesthesia restricted to the median distribution in the hand. There was also acrocyanosis as a manifestation of vasomotor imbalance most of the sympathetic nerve supply is carried in the median nerve). The wrist flexion sign was elicited. The causalgia and acroparesthesias were more marked and occurred more . . . [Full Text PDF of this Article]

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