Sirufo Maria Maddalena, Catalogna Alessandra, De Pietro Francesca, Ginaldi Lia, De Martinis Massimo
Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Allergy and Clinical Immunology Unit, Center for the Diagnosis and Treatment of Osteoporosis, AUSL 04, 64100 Teramo, Italy.
EXCLI J. 2021 Oct 28;20:1526-1531. doi: 10.17179/excli2021-4208. eCollection 2021.
Drummers are usually exposed to intensive physical stress and occupational diseases that have been only partially investigated. The majority of studies focus on musculoskeletal problems while microvascular abnormalities have been less considered. We report on a case of a 19-year-old drummer affected by Raynaud's phenomenon. The patient underwent nailfold video capillaroscopy that showed a non-specific pattern, with granular flow, dyshomogeneous capillary morphology, increased efferent/afferent loop ratio and many enlarged capillaries. The continuous exposition to vibration in drummers could determinate microvascular abnormalities with related cold induced disorders and Raynaud's phenomenon. Nailfold video capillaroscopy is a tool that allows to detect the alterations of the microcirculation and to carry out the follow-up of the patients with low cost, non-invasiveness, repeatability, high sensibility and specificity.
鼓手通常面临高强度的身体压力和职业病，而对此仅进行了部分调查。大多数研究集中在肌肉骨骼问题上，而微血管异常则较少受到关注。我们报告一例19岁鼓手患雷诺现象的病例。该患者接受了甲襞视频毛细血管镜检查，显示出非特异性模式，有颗粒状血流、毛细血管形态不均一、传出/传入袢比例增加以及许多扩张的毛细血管。鼓手持续接触振动可能会导致微血管异常以及相关的冷诱导疾病和雷诺现象。甲襞视频毛细血管镜检查是一种工具，能够检测微循环的改变，并以低成本、非侵入性、可重复性、高灵敏度和特异性对患者进行随访。
