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.
Key wordsRaynaud's Phenomenon Vibration-White-Finger Antiphospholipid Antibody Thermography
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- 1.Pryykko, I. Clinical aspects of the hand-arm vibration syndrome. Scand J Work Inviron Health 1986, Spec. 12 (4), 439–447.Google Scholar
- 2.Kakosy, T. Vibration disease. Balliere's Clinical Rheumatology, 1989, 3, 25–50.Google Scholar
- 10.Takeuchi, T., Futatsuka, M., Imanishi, H. et al. Pathological changes observed in finger biopsy from patients with vibration-induced white finger. 4th International Symposium on Hand-Arm Vibration 1985, Helsinki p 96.Google Scholar
- 12.Praglowske, T., Misiewicz, A. Histopathologic changes in skin of fingertips in angioneurosis vibratoria. (Polish) Medycyna Pracy 1972, 23, 140–154.Google Scholar
- 15.Nerem, R.M. Vibration-induced arterial shear stresses. Lancet 1971, i. 78.Google Scholar
- 16.Lau, C.S., McClaren, M., Chopra, M., Belch, J.J.F. Vibration induced white finger syndrome:? a true secondary Raynaud's phenomenon. Br J Rheumatol 1989, 28 (suppl 2) 15.Google Scholar
- 19.Dupuis, H. Thermographic assessment of skin temperature during a cold provocation test. Scand J Work Environ J Health 1987, 13, 352–355.Google Scholar