期刊
EXCLI JOURNAL
卷 20, 期 -, 页码 1526-1531出版社
EXCLI JOURNAL MANAGING OFFICE
DOI: 10.17179/excli2021-4208
关键词
Drummer; Raynaud's phenomenon; microcirculation; arts medicine; nailfold video capillaroscopy; musician; occupational disease; hand-arm vibration syndrome
类别
Drummers are at risk of microvascular abnormalities and Raynaud's phenomenon due to prolonged exposure to vibration. Nailfold video capillaroscopy is a useful tool for detecting and monitoring these issues with low cost and high sensitivity.
Drummers are usually exposed to intensive physical stress and occupational diseases that have been only partially investigated. The majority of studies focus on musculoskeletal problems while microvascular abnormalities have been less considered. We report on a case of a 19-year-old drummer affected by Raynaud's phenomenon. The patient underwent nailfold video capillaroscopy that showed a non-specific pattern, with granular flow, dyshomogeneous capillary morphology, increased efferent/afferent loop ratio and many enlarged capillaries. The continuous exposition to vibration in drummers could determinate microvascular abnormalities with related cold induced disorders and Raynaud's phenomenon. Nailfold video capillaroscopy is a tool that allows to detect the alterations of the microcirculation and to carry out the follow-up of the patients with low cost, non-invasiveness, repeatability, high sensibility and specificity.
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