Vibration-white foot: a case report

Details

• Personal Author:
  Eger T ; House R ; Krajnak, Kristine M. ; Thompson AMS
• Description:
  BACKGROUND: Hand-arm vibration syndrome (HAVS) refers to the neurological, vascular and musculoskeletal problems that may arise due to exposure to segmental vibration to the hands. An analogous syndrome may occur in the lower extremities of workers exposed to foot-transmitted vibration. AIMS: This report describes the case of a worker with a history of foot-transmitted vibration exposure presenting with cold intolerance in the feet and blanching in the toes. Case report A 54-year-old miner presented with a chief complaint of blanching and pain in his toes. The worker had a history of foot-transmitted vibration exposure over his 18 year career as a miner, primarily from the operation of vehicle-mounted bolting machines. Cold provocation digital plethysmography showed cold-induced vasospastic disease in the feet, but not in the hands. CONCLUSIONS: This case illustrates a condition descriptively termed 'vibration-white foot': a disease analogous to HAVS arising after segmental vibration exposure to the feet. Further research is required to increase awareness of, and direct preventive efforts for, this potentially debilitating condition. [Description provided by NIOSH]
• Subjects:
  Musculoskeletal Diseases Nervous System Occupational Exposure Occupational Health Safety Vibration
• Keywords:
  Author Keywords: Feet Exposure-levels Foot-injuries Hand-arm Vibration Syndrome Musculoskeletal-system-disorders Neurological-system Occupational Occupational-exposure Occupational-hazards Raynaud's Phenomenon Vibration-effects Vibration-exposure

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• ISSN:
  0962-7480
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  HELD - Health Effects Laboratory Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  60
• Issue:
  7
• NIOSHTIC Number:
  nn:20037694
• Citation:
  Occup Med 2010 Oct; 60(7):572-574
• Contact Point Address:
  A. M. S. Thompson, Occupational and Environmental Medicine Clinic, St. Michael's Hospital, 30 Bond Street, 4th Floor Shuter Wing, Toronto, Ontario M5B 1W8, Canada
• Email:
  aaron.thompson@utoronto.ca
• Federal Fiscal Year:
  2011
• Peer Reviewed:
  True
• Source Full Name:
  Occupational Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:03d3dbb1425d24a5f6d72d1b40063a01d8146b76f300f04c747f0e98491f2fbf7630395acb84354bce3c52bb7f1a0c46d8e4cd5a754ca9a45ef86ef8c43fa9e5
• Download URL:
  https://stacks.cdc.gov/view/cdc/191689/cdc_191689_DS1.pdf
• File Type:
  [PDF - 185.66 KB ]