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Base de datos CISDOC

ID (ISN) del documento109586
Número CIS 09-542
ISSN - Título de la serie 0962-7480 - Occupational Medicine
Año 2008
Número de serie
Autor(es) Poole C.J.M.
Título Cold haemagglutinin disease misdiagnosed as hand-arm vibration syndrome
Información bibliográfica Mar. 2008, Vol.58, No.3, p.219-221. 11 ref.
Acceso Internet http://occmed.oxfordjournals.org/cgi/reprint/58/3/219 [en inglés]
09-0542.pdf [en inglés]
Resumen 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.
Descriptores (primarios) vibración de los brazos y manos; anemia hemolítica; puestos de trabajo fríos; diagnostico; trabajo al aire libre
Descriptores (secundarios) Reino Unido; estudio de caso; modificaciones de las proteínas séricas; síndrome de Raynaud; orejas; pérdida del tacto; dedos; hospitales; hipoxia
Tipo de documento D - Artículos periódicos
País / Estado o ProvinciaReino Unido
Tema(s) Patología profesional
Broad subject area(s) Medicina del trabajo, epidemiología
Navegación por categoria(s) Blood diseases
Vibration
Heat and cold