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. 1991 Jul;48(7):480–484. doi: 10.1136/oem.48.7.480

Finger blood pressure and rewarming rate for screening and diagnosis of Raynaud's phenomenon in workers exposed to vibration.

H Virokannas 1, H Rintamäki 1
PMCID: PMC1035401  PMID: 1854650

Abstract

Both the finger systolic blood pressure (FSP) and the rewarming test of finger skin are measures of circulation in the finger; the first reflects the vasoconstriction phase and the second the vasodilatation phase. The combinations of the specificity and the sensitivity of these methods were evaluated by a receiver operating characteristic curve (ROC). The material included 37 vibration-induced white finger (VWF) cases, five primary Raynaud's cases, and 37 controls. The specificity of the FSP test was high with regard to the anamnesis of white finger and the test was useful for the diagnosis of Raynaud's phenomenon, but the sensitivity was too low for screening. The rewarming test was useful for screening primary Raynaud's case and possibly for screening disorders in peripheral vasodilative function. The connections between the rewarming test and VWF are not clear and according to the present study the rewarming test was not suitable for screening VWF.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arneklo-Nobin B., Johansen K., Sjöberg T. The objective diagnosis of vibration-induced vascular injury. Scand J Work Environ Health. 1987 Aug;13(4):337–342. doi: 10.5271/sjweh.2031. [DOI] [PubMed] [Google Scholar]
  2. Bovenzi M. Finger systolic pressure during local cooling in normal subjects aged 20 to 60 years: reference values for the assessment of digital vasospasm in Raynaud's phenomenon of occupational origin. Int Arch Occup Environ Health. 1988;61(3):179–181. doi: 10.1007/BF00381016. [DOI] [PubMed] [Google Scholar]
  3. Bovenzi M. Finger thermometry in the assessment of subjects with vibration-induced white finger. Scand J Work Environ Health. 1987 Aug;13(4):348–351. doi: 10.5271/sjweh.2044. [DOI] [PubMed] [Google Scholar]
  4. Brotzu G., Susanna F., Roberto M., Palmina P. Beta-blockers: a new therapeutic approach to Raynaud's disease. Microvasc Res. 1987 Mar;33(2):283–288. doi: 10.1016/0026-2862(87)90023-9. [DOI] [PubMed] [Google Scholar]
  5. Cohen R. A., Coffman J. D. Beta-adrenergic vasodilator mechanism in the finger. Circ Res. 1981 Nov;49(5):1196–1201. doi: 10.1161/01.res.49.5.1196. [DOI] [PubMed] [Google Scholar]
  6. Ekenvall L., Lindblad L. E., Bevegård S., Etzell B. M. High vascular tone but no obliterative lesions in vibration white fingers. Am J Ind Med. 1987;12(1):47–54. doi: 10.1002/ajim.4700120106. [DOI] [PubMed] [Google Scholar]
  7. Ekenvall L., Lindblad L. E. Digital blood pressure after local cooling as a diagnostic tool in traumatic vasospastic disease. Br J Ind Med. 1982 Nov;39(4):388–391. doi: 10.1136/oem.39.4.388. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hack M., Boillat M. A., Schweizer C., Lob M. Assessment of vibration induced white finger: reliability and validity of two tests. Br J Ind Med. 1986 Apr;43(4):284–287. doi: 10.1136/oem.43.4.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. MAGOS L., OKOS G. COLD DILATATION AND RAYNAUD'S PHENOMENON. Arch Environ Health. 1963 Oct;7:402–410. doi: 10.1080/00039896.1963.10663558. [DOI] [PubMed] [Google Scholar]
  10. Matoba T., Sakurai T. Physiological methods used in Japan for the diagnosis of suspected hand-arm vibration syndrome. Scand J Work Environ Health. 1987 Aug;13(4):334–336. doi: 10.5271/sjweh.2045. [DOI] [PubMed] [Google Scholar]
  11. Nielsen S. L., Lassen N. A. Measurement of digital blood pressure after local cooling. J Appl Physiol Respir Environ Exerc Physiol. 1977 Nov;43(5):907–910. doi: 10.1152/jappl.1977.43.5.907. [DOI] [PubMed] [Google Scholar]
  12. Olsen N. Diagnostic tests in Raynaud's phenomena in workers exposed to vibration: a comparative study. Br J Ind Med. 1988 Jun;45(6):426–430. doi: 10.1136/oem.45.6.426. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Olsen N., Petring O. U. Vibration elicited vasoconstrictor reflex in Raynaud's phenomena. Br J Ind Med. 1988 Jun;45(6):415–419. doi: 10.1136/oem.45.6.415. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Pelmear P. L., Roos J., Leong D., Wong L. Cold provocation test results from a 1985 survey of hard-rock miners in Ontario. Scand J Work Environ Health. 1987 Aug;13(4):343–347. doi: 10.5271/sjweh.2030. [DOI] [PubMed] [Google Scholar]
  15. Pyykkö I., Färkkilä M., Korhonen O., Starck J., Jäntti V. Cold provocation tests in the evaluation of vibration-induced white finger. Scand J Work Environ Health. 1986 Aug;12(4 Spec No):254–258. doi: 10.5271/sjweh.2142. [DOI] [PubMed] [Google Scholar]
  16. Takeuchi T., Futatsuka M., Imanishi H., Yamada S. Pathological changes observed in the finger biopsy of patients with vibration-induced white finger. Scand J Work Environ Health. 1986 Aug;12(4 Spec No):280–283. doi: 10.5271/sjweh.2140. [DOI] [PubMed] [Google Scholar]
  17. Zelis R. Mechanisms of vasodilation. Am J Med. 1983 Jun 27;74(6B):3–12. doi: 10.1016/0002-9343(83)90848-3. [DOI] [PubMed] [Google Scholar]

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