Useful , thanks for pointing it out
Sent from my iPhone
> On 11 Jan 2019, at 15:32, Wendy Jones <[log in to unmask]> wrote:
>
> Hi all
>
> One of the questions on the clinical questionnaire for HAVS is
>
> "Do you experience whiteness in your feet or other periphery?"
> I had always understood that the presence of vasospasm in the feet might point towards a diagnosis of Raynauds rather than HAVS as the HSE guidance states
>
> "Factors in favour of Raynaud’s disease include: • Usually a description of other cold extremities (ears, feet, nose)"
>
> But I just read a journal paper which identifies that the vascular component of HAVS is a risk factor for cold-induced vasospasm in their feet i.e. once you have HAVS you are more likely to develop symptoms in the feet (and in the other hand; and NIHL) even though they are not exposed to vibration.
>
> Apologies if everyone other than me knew that - it is quite a few years since I did my HAVS training so it might be something mentioned there now; but it surprised me so much I thought i would share it as a bit of Friday afternoon education!
>
> House, R., et al. "Vasospasm in the feet in workers assessed for HAVS." Occupational medicine 61.2 (2010): 115-120. is the reference for anyone interested
>
> Wendy
>
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