|Document ID (ISN)||109586|
|ISSN - Serial title
||0962-7480 - Occupational Medicine
|Convention or series no.
||Cold haemagglutinin disease misdiagnosed as hand-arm vibration syndrome
||Mar. 2008, Vol.58, No.3, p.219-221. 11 ref.
||http://occmed.oxfordjournals.org/cgi/reprint/58/3/219 [in English]
09-0542.pdf [in English]
||A patient with a diagnosis of hand-arm vibration syndrome was referred for a second opinion. He worked as a multi-skilled operative in the housing department of a local authority, a job not normally associated with high levels of exposure to hand-transmitted vibration. He described blanching of his fingers and a blue colouration of his extremities in cold weather. On examination, his fingertips, toes and pinnae were acrocyanotic, the fingers were patchily pale and sensation was subjectively impaired in all of the digits. Investigations revealed a haemolytic anaemia and haemagglutination. He was diagnosed with idiopathic cold haemagglutinin disease. Exposure to vibration may confound with exposure to cold in which case the diagnoses of cold haemagglutinin disease or cryoglobulinaemia should be excluded before diagnosing hand-arm vibration syndrome.
||hand-arm vibration; haemolytic anaemia; cold workplaces; diagnosis; outdoor work
||United Kingdom; case study; serum protein changes; Raynaud's phenomenon; ear; loss of touch; fingers; hospitals; hypoxia
||D - Periodical articles
|Country / State or Province||United Kingdom|
|Broad subject area(s)
||Occupational medicine, epidemiology
Heat and cold