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Cutaneous signs (Raynaud's phenomenon, sclerodactylia, and efladema of the hands) and hand-arm vibration exposure

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Summary

Dermatological tests and examinations of the hand(s) were carried out in vibration-exposed and un exposed males. The subjects were 179 chain-saw workers in private forestry companies and 205 local inhabitants who had never used vibrating tools. The prevalences of Raynaud's phenomenon (RP), sclerodactylia, and edema of the hands were estimated in both groups, and associations between these cutaneous signs and vibration exposure were evaluated. The prevalences of RP and edema in the exposed group were 9.5% and 1.7%, respectively, and in the unexposed group, 2.9% and 1.5%, respectively. Sclerodactylia was seen in 31.8% of the chain-saw workers but in only 6.4% of the unexposed individuals. In statistical analyses based on unconditional logistic regression models with adjustment for age, RP was associated with long-term (≥ 20 years) vibration exposure [odds ratio (OR) = 7.06; 95% confidence interval (CI) = 2.51−19.87]. Sclerodactylia was associated with both short- and long-term vibration exposure (OR = 6.54, Cl = 3.30-13.36; OR = 7.05; CI = 3.41-14.60, respectively). There were significant dose-response relationships between RP and duration of exposure and between sclerodactylia and duration of exposure. Results of function tests indicated a longer recovery time and a higher vibration threshold for the workers with RP. The presence of sclerodactylia, however, did not have any significant influence on function test results. It is possible to conclude that not only RP but also sclerodactylia could be induced by vibration exposure. However, most cases of sclerodactylia were not so serious as to involve disturbances of peripheral circulatory and nerve function.

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References

  1. Blair HM, Headington JT, Lynch PJ (1974) Occupational trauma, Raynaud's phenomenon and sclerodactylia. Arch Environ Health 28:80–81

    Google Scholar 

  2. Brammer AJ, Taylor W (1982) Vibration effects on the hand and arm in industry. Wille, New York

    Google Scholar 

  3. Bramwell B (1914) Diffuse sclerodermia: its frequency; its occurrence in stone-masons; its treatment by fibrolysin-elevations of temperature due to fibrolysin injections. Edin Med J 12:387–401

    Google Scholar 

  4. Ekenvall L, Lindblad L (1986) Vibration white finger and digital systolic pressure during cooling. Br J Ind Med 43:280–283

    Google Scholar 

  5. Ekenvall L, Gemne G, Tenger R (1989) Correspondence between neurological symptoms and outcome of quantitative sensory testing in the hand-arm vibration syndrome. Br J Ind Med 46:570–574

    Google Scholar 

  6. Erasmus LD (1957) Scleroderma in gold-miners on the Witwatersrand with particular reference to pulmonary manifestations. S Afr J Lab Clin Med 3:209–230

    Google Scholar 

  7. Harada N (1987) Esthesiometry, nail compression and other function tests used in Japan for evaluating the hand-arm vibration syndrome. Scand J Work Environ Health 13:330–333

    Google Scholar 

  8. Harada N, Kondo H, Kimura K (1990) Assessment of autonomic nervous function in patients with vibration syndrome using heart rate vibration and plasma cyclic nucleotides. Br J Ind Med 47:263–268

    Google Scholar 

  9. Harper FE, Maricq HR, Turner RE, Lidman RW, Leroy EC (1982) A prospective study of Raynaud's phenomenon and early connective tissue disease. Am J Med 72:883–888

    Google Scholar 

  10. Joriff L (1986) Vibration induced effects caused by impact wrenches used in truck assembly. Scand J Work Environ Health 12:269–271

    Google Scholar 

  11. Kleinbaum DG, Kupper LL, Morgenstern H (1982) Principles and procedures of epidemiologic analysis. In: Kleinbaum DG, Kupper LL, Morgenstern H (eds) Epidemoogy research. Principles and quantitative methods. Van Nostrand Reinhold, New York, pp 281–507

    Google Scholar 

  12. Maeda M, Mori S (1992) Occupational or extrinsic stimulation factors and initial signs of progressive systemic sclerosis. Int J Dermatol 31:257–259

    Google Scholar 

  13. Matoba T, Sakurai T (1987) Physiological methods used in Japan for the diagnosis of suspected hand-arm vibration syndrome. Scand J Work Environ Health 13:334–356

    Google Scholar 

  14. McMichael AJ (1976) Standardized mortality ratios and the “Healthy worker effect”: scratching beneath the surface. J Occup Med 18:165–168

    Google Scholar 

  15. Medsger TA, Masi AT (1971) Epidemiology of systemic sclerosis (scleroderma). Ann Intern Med 74:714–721

    Google Scholar 

  16. Michet CJ, Mckenna CH, Elveback LP, Kaslow RA, Kurland LT (1985) Epidemiology of systemic lupus erythematosus and other connective tissure diseases in Rochester, Minnesota, 1950 through 1979. Mayo Clin Proc 60:105–113

    Google Scholar 

  17. Mirbod SM, Inaba R, Iwata H (1992) A study on the vibrationdose limit for Japanese workers exposed to hand-arm vibration. Ind Health 30:1–22

    Google Scholar 

  18. Miyashita K, Shiomi S, Itoh N, Kasamatsu T, Iwata H (1982) Development of the vibration syndrome among chain-saw operators in relation to their total operating time. In: Brammer AJ, Taylor W (eds) Vibration effects on the hand and arm in industry. Wiley, New York

    Google Scholar 

  19. Nakamoto M (1990) Responses of sympathetic nervous system to cold exposure in vibration syndrome subjects and age matched healthy controls. Int Arch Occup Environ Health 62:177–181

    Google Scholar 

  20. Okada A, Inaba R, Furuno T, Nohara S, Ariizumi M (1987) Usefulness of blood parameters, especially viscosity, for the diagnosis and elucidation of pathogenic mechanisms of the hand-arm vibration syndrome. Scand J Work Environ Health 13:358–362

    Google Scholar 

  21. Olsen N, Nielsen SL (1988) Vasoconstrictor response to cold in forestry workers: a prospective study. Br J Ind Med 45:39–42

    Google Scholar 

  22. Olsen N, Petring O (1988) Vibration elicited vasoconstrictor reflex in Raynaud's phenomena. Br J Ind Med 45:415–419

    Google Scholar 

  23. Pyykkö I (1986) Clinical aspects of the hand-arm vibration syndrome. Scand J Work Environ Health 12:439–447

    Google Scholar 

  24. Statistical Analysis System Institute (1988) SAS/STAT user's guide, release 6.03 edition. Cary, N.C., pp 549–640 6.03 edition.

  25. Subcommittee for Scleroderma Criteria of the American Rheumatism Association Diagnostic and Therapeutic Criteria Committee (1980) Primary criteria for the classification of systemic sclerosis (scleroderma). Arthritis Rheum 23:581–590

    Google Scholar 

  26. The Japan Tobacco and Salt Public Monopoly Corporation (1991) The annual statistic report, 1991. Tokyo, p 123

  27. Theriault G, Guire LD, Laroche G (1982) Raynaud's phenomenon in forestry workers in Quebec. Can Med Assoc J 126:1404–1408

    Google Scholar 

  28. Tuffanelli DL, Winkelmann RK (1961) Systemic scleroderma. A clinical study of 727 cases. Arch Dermatol 84:359–371

    Google Scholar 

  29. Wasserman DE, Taylor W (1991) Historical perspectives in occupational medicine. Lessons from hand-arm vibration syndrome research. Am J Ind Med 19:539–546

    Google Scholar 

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Authors and Affiliations

  1. Department of Hygiene, Gifu University School of Medicine, Gifu, Japan

    Chisato Nagata, Hideyo Yoshida, Seyed Mohammad Mirbod, Yoko Komura, Setsuya Fujita, Ryouichi Inaba & Hirotoshi Iwata

  2. Department of Dermatology, Gifu University School of Medicine, Gifu, Japan

    Manabu Maeda, Yukiko Shikano, Yoshio Ichiki & Shunji Mori

Authors
  1. Chisato Nagata
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  2. Hideyo Yoshida
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  3. Seyed Mohammad Mirbod
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  4. Yoko Komura
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  5. Setsuya Fujita
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  6. Ryouichi Inaba
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  7. Hirotoshi Iwata
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  8. Manabu Maeda
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  9. Yukiko Shikano
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  10. Yoshio Ichiki
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  11. Shunji Mori
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Nagata, C., Yoshida, H., Mohammad Mirbod, S. et al. Cutaneous signs (Raynaud's phenomenon, sclerodactylia, and efladema of the hands) and hand-arm vibration exposure. Int. Arch Occup Environ Heath 64, 587–591 (1993). https://doi.org/10.1007/BF00517705

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  • DOI: https://doi.org/10.1007/BF00517705

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