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Raynaud's Phenomenon in a Slap Bass Player: A Case Report

Jørgen Riis Jepsen, Jane Angel Simonsen
From: Medical Problems of Performing Artists: Volume 31 Number 1: Page 51 (March 2016)

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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. CONCLUSION: This is the first reported case of objectively verified, playing-related Raynaud's phenomenon in a musician.
http://dx.doi.org/10.21091/mppa.2016.1009

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