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Correlation between vibration-induced white finger and symptoms of upper and lower extremities in vibration syndrome
Authors:Hisataka Sakakibara  Yasuhiro Akamatsu  Masaru Miyao  Taka'aki Kondo  Masashi Furuta  Shin'ya Yamada  Noriaki Harada  Shigenobu Miyake  Migiwa Hosokawa
Affiliation:(1) Department of Public Health, Nagoya University School of Medicine, 46 Tsurumai-cho, Showa-ku, 466 Nagoya, Japan;(2) Department of Public Health, Ehime University School of Medicine, Ehime, Japan;(3) Department of Occupational Disease, Kamigyo Hospital, Kyoto, Japan;(4) Department of Occupational Welfare, Kyoto, Japan
Abstract:Summary The correlation was investigated between the frequency of attacks of vibration-induced white finger (VWF) and numbness or coldness of the fingers and legs in patients with vibration syndrome. Some 1687 patients with vibration syndrome were examined and of these 342 chain-saw operators and 277 rock-drill operators had no disease other than vibration snydrome. Then subjects were matched by age and period of treatment within three years. In the last analysis, 20 in the VWF ldquoalmost everydayrdquo group or in the ldquoneverrdquo group, and 40 in the ldquooccasionallyrdquo group were selected from the chain-saw operators, and from the rock-drill operators 32 in the VWF ldquoeverydayrdquo or the ldquoneverrdquo group and 64 in the ldquooccasionallyrdquo group. The present study showed that, with the frequency of VWF attacks, patients had a higher prevalence of coldness not only in the fingers but also in the legs. These findings suggest a correlation between the severity of circulatory disturbances of the upper extremities and that of the lower ones in patients with vibration syndrome. Further studies on circulatory disturbances in the leg are required.
Keywords:Coldness of the leg  Raynaud's phenomenon  Hand-arm vibration  Vibration syndrome
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