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.
McHugh
N J
NJ
Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath, England.
Elvins
D M
DM
Ring
E F
EF
D017153:Antibodies, Anticardiolipin / Q000032:analysis*; D015535:Arthritis, Psoriatic / Q000150:complications; D004797:Enzyme-Linked Immunosorbent Assay; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007259:Infrared Rays; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000209:etiology*; D011928:Raynaud Disease / Q000209:etiology* / Q000276:immunology / Q000628:therapy; D013817:Thermography; D014732:Vibration / Q000009:adverse effects*
D017153:Antibodies, Anticardiolipin; D007074:Immunoglobulin G