Voulgari P V, Alamanos Y, Papazisi D, Christou K, Papanikolaou C, Drosos A A
Department of Internal Medicine, Medical School, University of Ioannina, 451 10 Ioannina, Greece.
Ann Rheum Dis. 2000 Mar;59(3):206-10. doi: 10.1136/ard.59.3.206.
Raynaud's phenomenon (RP) is comprised of repeated episodes of colour changes of the skin of digits on cold exposure or emotional stress. The prevalence of RP in the general population is variable fluctuating between 4%-15%, among surveys. The aim of this study was to estimate the prevalence of RP in a healthy working Greek population and to investigate the possible association of RP with various demographic, social and other factors.
A total of 756 employees of the University Hospital of Ioannina was included in the study. They belong to the administrative (120 subjects), nursing and technical (a representative sample of 418 and 218 subjects, respectively) personnel. Five hundred subjects (111 men and 389 women) responded in a face to face interview based on a specially conformed questionnaire. The study began in November 1997 and was completed in March 1998.
Twenty six subjects with RP (1 man and 25 women) were found. Their mean (SD) age was 32.73 (5.77) years. The prevalence of RP was 5.2% (0.9% in men and 6.4% in women). The sex ratio, male/female, was 1/7.1. An association between RP and migraine was found. However, there were no significant correlations of RP with smoking, alcohol and coffee consumption, dietary habits, occupational history and drug exposure. No social or other demographic parameters associated to RP frequency were found.
The prevalence of RP (5.2%) in the population studied is relatively low compared with previous studies. RP focuses on the fourth decade of life and affects mainly women. There was no evidence of any correlation of RP with social, environmental or personal parameters while an association of RP with migraine was found. Geographical or genetic factors, or both, may be responsible for these results.
雷诺现象(RP)表现为手指皮肤在寒冷暴露或情绪应激时反复出现颜色变化。在各项调查中,普通人群中RP的患病率有所不同,波动在4% - 15%之间。本研究的目的是估计希腊健康在职人群中RP的患病率,并调查RP与各种人口统计学、社会和其他因素之间可能存在的关联。
约阿尼纳大学医院的756名员工纳入本研究。他们分别属于行政人员(120名受试者)、护理和技术人员(分别为418名和218名受试者的代表性样本)。500名受试者(111名男性和389名女性)基于一份专门设计的问卷接受了面对面访谈。研究始于1997年11月,于1998年3月完成。
发现26名患有RP的受试者(1名男性和25名女性)。他们的平均(标准差)年龄为32.73(5.77)岁。RP的患病率为5.2%(男性为0.9%,女性为6.4%)。男女比例为1/7.1。发现RP与偏头痛之间存在关联。然而,RP与吸烟、饮酒、咖啡饮用、饮食习惯、职业史和药物暴露之间没有显著相关性。未发现与RP频率相关的社会或其他人口统计学参数。
与先前的研究相比,本研究人群中RP的患病率(5.2%)相对较低。RP集中在生命的第四个十年,主要影响女性。没有证据表明RP与社会、环境或个人参数存在任何相关性,而发现RP与偏头痛存在关联。地理或遗传因素,或两者兼而有之,可能是导致这些结果的原因。