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Cutaneous and Systemic Manifestations in a Jackhammer Operator

Steven R. Cohen, MD; Douglas L. Bilinski, MD; N. Scott McNutt, MD

Arch Dermatol. 1985;121(12):1544-1547.

Abstract
• Vibration syndrome (VS), which typically presents as a variant of Raynaud's phenomenon, has been characterized recently as a multisystem disorder of the peripheral circulation, nerves, muscles, and joints. The sequelae of the disorder are irreversible, but most clinical evidence indicates that vibration injury is completely reversible by early intervention. Advanced VS occurred in a jackhammer operator; his condition went unrecognized for more than 11 years. The clinical findings illustrate the broad spectrum of pathologic abnormalities associated with VS and emphasize the need for increased physician awareness of this disabling condition.

(Arch Dermatol 1985;121:1544-1547)

Author Affiliations
From the Department of Dermatology, Yale University School of Medicine, New Haven, Conn (Drs Cohen and Bilinski); and the Department of Pathology, Cornell University Medical College, New York (Dr McNutt). Dr Cohen is now with Cornell University Medical College, New York.

Footnotes
Accepted for publication Aug 21, 1985.

Reprint requests to the Environmental and Occupational Dermatology Unit, New York Hospital-Cornell Medical Center, 525 E 68th St, New York, NY 10021 (Dr Cohen).

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