Pathophysiology and classification of the vibration white finger.

Details

Serval ID
serval:BIB_39718D1EAA7C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Pathophysiology and classification of the vibration white finger.
Journal
International Archives of Occupational and Environmental Health
Author(s)
Noël B.
ISSN
0340-0131 (Print)
ISSN-L
0340-0131
Publication state
Published
Issued date
04/2000
Volume
73
Number
3
Pages
150-155
Language
english
Notes
Publication types: Journal Article ; Review
WOS Document Type: Review
Abstract
Skin, arteries and nerves of the upper extremities can be affected by vibration exposure. Recent advances in skin and vascular biology as well as new investigative methods, have shown that neurovascular symptoms may be due to different vascular and neurological disorders which should be differentiated if proper management is to be evaluated. Three types of vascular disorder can be observed in the vibration white finger: digital organic microangiopathy, a digital vasospastic phenomenon and arterial thrombosis in the upper extremities. An imbalance between endothelin-1 and calcitonin-gene-related peptide is probably responsible for the vasospastic phenomenon. Moreover, paresthesiae can be due to either a diffuse vibration neuropathy or a carpal tunnel syndrome. A precise diagnosis is then necessary to adapt the treatment to individual cases. A classification describing the type and severity of the vascular lesions is presented. Asymptomatic lesions are included for adequate epidemiological studies and risk assessment of vibrating tools. Monitoring of vibration exposed workers should include not only a questionnaire about symptoms, but also a clinical evaluation including diagnostic tests for the screening of early asymptomatic neurovascular injuries.
Keywords
Diagnosis, Differential, Fingers/blood supply, Humans, Occupational Diseases/classification, Occupational Diseases/diagnosis, Raynaud Disease/classification, Raynaud Disease/diagnosis, Vibration/adverse effects
Pubmed
Web of science
Create date
29/01/2008 17:23
Last modification date
20/08/2019 13:29
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