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Document ID (ISN)109586
CIS number 09-542
ISSN - Serial title 0962-7480 - Occupational Medicine
Year 2008
Convention or series no.
Author(s) Poole C.J.M.
Title Cold haemagglutinin disease misdiagnosed as hand-arm vibration syndrome
Bibliographic information Mar. 2008, Vol.58, No.3, p.219-221. 11 ref.
Internet access http://occmed.oxfordjournals.org/cgi/reprint/58/3/219 [in English]
Abstract 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.
Descriptors (primary) hand-arm vibration; haemolytic anaemia; cold workplaces; diagnosis; outdoor work
Descriptors (secondary) United Kingdom; case study; serum protein changes; Raynaud's phenomenon; ear; loss of touch; fingers; hospitals; hypoxia
Document type D - Periodical articles
Country / State or ProvinceUnited Kingdom
Subject(s) Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Blood diseases
Vibration
Heat and cold