title: Raynaud's Phenomenon in a Slap Bass Player: A Case Report.
abstract: OBJECTIVE
  Secondary Raynaud's phenomenon is a frequent condition related to occupational exposure to local vibration but has not been described in musicians. This study aims to describe cold-induced blanching of the right second and (in particular) third digits in a 67-year-old double bass player following decades of cumulative repetitive blunt trauma to the fingers from slapping the strings.
  
  
  METHODS
  A physical examination was undertaken and systolic blood pressure measured before and after cold provocation.
  
  
  RESULTS
  At 10 deg C the brachial systolic blood pressure was 156 mm Hg while blood pressure was immeasurable at the finger level, corresponding to a finger/brachial index of 0% of the second and third fingers.
  
  
  CONCLUSIONS
  This is the first reported case of objectively verified, playing-related Raynaud's phenomenon in a musician.
authors.affiliation: Dep. of Occupational Medicine, Hospital of Southwestern Jutland, Østergade 81-83, DK-6700 Esbjerg, Denmark. Tel +45 23285702. joergen.riis.jepsen@svs.regionsyd danmark.dk.
authors.forename: Jørgen Riis
authors.initials: JR
authors.lastname: Jepsen
authors.forename: Jane Angel
authors.initials: JA
authors.lastname: Simonsen
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D009146:Music; D009784:Occupational Diseases / Q000175:diagnosis* / Q000209:etiology; D016273:Occupational Exposure / Q000009:adverse effects*; D011928:Raynaud Disease / Q000175:diagnosis* / Q000209:etiology; D014732:Vibration / Q000009:adverse effects*