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Elevated anticardiolipin antibodies in a patient with vibration-white-finger, valvular heart disease and psoriatic arthritis


We describe a case of irreversible severe vibration-white-finger (VWF) occurring in a male who used a compression-hammer daily at work for a 20-year period. Infra-red thermography following either a cold provocation or a vibratory stress was a sensitive objective method of documenting the condition. Persistent elevation of IgG anticardiolipin antibodies (aCL) was found in his serum and may be a marker of endothelial damage associated with either VWF or the patient's coincidental valvular heart disease.

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Correspondence to Dr. N. J. McHugh.

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McHugh, N.J., Elvins, D.M. & Ring, E.F.J. Elevated anticardiolipin antibodies in a patient with vibration-white-finger, valvular heart disease and psoriatic arthritis. Clin Rheumatol 12, 70–73 (1993). https://doi.org/10.1007/BF02231562

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Key words

  • Raynaud's Phenomenon
  • Vibration-White-Finger
  • Antiphospholipid Antibody
  • Thermography