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Alcohol and Dupuytren's disease
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06/07/2000 23:32
Mark

not registered

06/07/2000 23:32
Mark

not registered

Dupuytrens

Today the doctor told me I had this disease. I just turned 28. Last January I broke my hand (boxers fracture on the ring and little finger nuckles of my right hand). It was soon after I got my cast off that I noticed the bump on my palm. I smoke and I like to drink. I just found this quote.

"A recent article found an increased risk of Dupuytren's contracture in smokers, stating that this may contribute to the association with with alcoholism, given the fact that many alcoholics tend to smoke heavily."

I think this is the article they are referring to, but I am not sure. I haven't had time to look it up and read it.

Burge P, Hoy G, Regan P, & Milne R. Smoking, alcohol and the risk of Dupuytren's contracture.
J Bone Joint Surg Br, 1997 Mar, 79:2, 206-10.

And to think, today started off as a good day.
I am rather nervous about this. Any input would be appreciated.




    11/16/2000 23:44
    Phil

    not registered

    11/16/2000 23:44
    Phil

    not registered

    Dupuytrens

    Don't drink at all. Had surgery. Ring finger now slightly bent but no problem except sympathetic nerve reaction to the finger and adjoining finger. Execize greatly irritates fingers. Finger tips very tender. On prednisone and sweeling now aapparently down, Doctor suggests a series of 6 to 20 shots by an anesthesiologist. Very reluctant. Has been 8 weeks since surgery. Will seek advice from therapist. If situation betters in 6 months that is fine.

      04/09/2001 23:19
      Ed Dilley

      not registered

      04/09/2001 23:19
      Ed Dilley

      not registered

      Surgery soon

      I'm a 43 year old male, very light drinker, so I don't think this is much of a factor. Recently, I underwent anti-inflammatory (ibuprofen) therapy for rotator cuff damage in my left shoulder, 2400mg per day for almost eight months, leading to cortisone injections (the DP is suddenly in the left hand). If I understand correctly, the alcohol link to DP is largely related to liver damage. The ibuprofen can also cause liver damage, which is why my doctors had me coming in monthly for a liver function blood test. Although no red flags went up during these tests, I have to wonder if this contributed to sudden onset of DP. Any thoughts?

        04/13/2001 23:39
        Jerry

        not registered

        04/13/2001 23:39
        Jerry

        not registered

        Dupe/Alcohol

        I contracted DUPE about age 40. No problem with fingers until I caught a hard hit tennis ball at age 70. Felt sharp pain in ring & pinkie. Both fingers subsequently bent; ring finger now at 90 and pinkie at 45 degrees respectively.

        Shook hands 8 months ago with an OAF who decided he was a crusher. Felt same pain in ring finger of right hand. Trouble is starting. Will probably opt for surgery because I am a very active adult. Use Nordic track daily, tennis and walk instead of ride when possible.

        I do drink Vodka daily, about 2 doubles, however I do not believe the drinkink caused or had anything to do with the affliction. I only now fear taking painkillers with the alcohol, so I will and can stop the intake.

        Good Luck to you all.

          06/21/2001 23:34
          Rinaldo Olff

          not registered

          06/21/2001 23:34
          Rinaldo Olff

          not registered

          Dupuytrens Contracture

          Interesting allusions to Dupuytrens himself in one of the series of books written by Patrick O'brian.

            07/10/2001 23:42
            Pauline

            not registered

            07/10/2001 23:42
            Pauline

            not registered

            DC

            i am a 46 year old female who has only been diagnosed today. The only thing in the profile that fits me is drinking. At the moment it just seems a bit annoying but I look at people having amputations and surgery and I am getting scared should I stop drinking or does this have no real link?
            Thanks for any help
            Pauline

              10/15/2001 23:08
              jim h

              not registered

              10/15/2001 23:08
              jim h

              not registered

              Dupuytren~sq~s Left HAnd

              There seem to be many references in medical literature to a connection between dupuytrens and heavy drinking. Apparently it is often seen in alcoholics. I won't put Bill in that category, perhaps he can metabolize that amount of alcohol harmlessly, but I know I couldn't and I think it would be best to ask a doctor for his opinion on this. The problem, of course, is finding one with knowledge of Dupuytren's.

                11/14/2001 23:29
                TLC

                not registered

                11/14/2001 23:29
                TLC

                not registered

                Mercks Manual as an info source

                I am a 54 yo male in good physical shape who is about to undergo his third trigger finger (stenosing tenosynovitis) and first Dupuytren's surgery on 27 Nov. I have slightly elevated liver enzymes (AST very slight, ALT about 25% above the norm). No history of alchohol abuse (for that matter very little use at all)and no family history of liver problems. The elevated enzymes have remained in the same ranges for the last 4 years, with the advice being to "monitor" them which means semi-annual blood work. There is a family history of diabetes (father and maternal grandmother); however, my blood sugar (fasting) is in the 90mg/dl range when tested by a blood draw and lower when a finger stick is employed. I have been vaccinated for Hep B and tested for Hep C (negative). The point of all of this is that other things than alchohol can cause the liver damage that sometimes correlates with Duyputren's. Sometimes it is the old "etiology unknown" for the liver problems. What I am getting at is that alchohol use alone isn't the key; it is the liver functions (and their deficit) that correlates. After all the liver is the bodies poison filter and most drugs are metabolized there, prescription and OTC's. I found a source on the net today with some info re Dupuytren's. It is the Merck Manual, Home edition. It is accessible at www.merckmanualhomeedition.com. It gave me some insight into the disease and the possible liver disfunction and diabetes correlation. And no, I am not a Merck rep. I am a nurse and an attorney! tlc

                P. S. I also posted a history of my hand surgeries under the topic of "Dupuytren's after Trigger finger surgery" or something to that effect. I intend to get old med record to see when my liver profile started to go south to see how it matches up with the onset of the hand problems.

                  11/29/2001 23:11
                  marie

                  not registered

                  11/29/2001 23:11
                  marie

                  not registered

                  The saga

                  a brief history.....9 years ago I had a terrible car accident, was thrown from the car and all injuries were on my left side. 2 years later DC appeared. However an interesting prelude to this is that when I was 22 years old, I used to ski a lot and went to the Dr. for a lump on the bottom of my foot on the tendon. He said quote" don't worry about it unless it begins to cause you a lot of trouble. At that time, I did not either drink or smoke. So I forgot about it except for the pitting in my palms, no one could tell me what caused them until after my car accident. I was 50 when I had the accident. Family history is 3 brothers, none of whom have this condition. No other record in the family of it or related conditions. I've had 2 surgeries on my left little finger and have also had plastic surgery to replace skin on sme . It came back with a vengance and I now have lumps in my right hand that hurt. The one at the base of my right hand thumb is especially troublesome. I am otherwise very healthy and most people take me to be 10 years younger than I am. Don't have any idea where I'm going with all this but if anyone hears of any new treatment other than surgery, please let me know. Thanks and God's blessings to us all.

                    12/19/2001 23:10
                    Steve

                    not registered

                    12/19/2001 23:10
                    Steve

                    not registered

                    ~dq~DRINKING ALCHOHOL AND DUPUYTREN~sq~S DISEASE~dq~

                    Hi Folks,
                    I'm 35 and have just had the mother of all Dupuytrens removed from the middle finger of my right hand, leaving a tidy 9cm scar. I drink in moderation and exercise on a regular basis with a variety of cross training. In my case I can trace the history of the disease directly to my father and great grand father; with a generation gap between. I firmly believe that there is no related alcohol link, so bottoms up - lifes too short.

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