1st April 2022

A 40-year-old man has noticed a gradual enlargement of his hands and feet

A 40-year-old man has noticed a gradual enlargement of his hands and feet. He also suffers from pain and ‘pins and needles’ in his right hand at night. 

On examination, he has prognathism, an enlarged tongue, and large spade-like hands. Tinel’s test is negative bilaterally. 

What is the most likely cause of the pain in his hand?

Select the SINGLE most appropriate option from the list below. Select ONE option only.