Digital Arterial Responsiveness to Cold in Healthy Men, Vibration White Finger and Primary Raynaud's Phenomenon
cold provocation test ； finger systolic pressure ； predictive value ； sensitivity ； specificity ； vasospastic syndromes
Scandinavian Journal of Work, Environment & Health
|Volume or Term/Year and Month of Publication||
19卷4期（1993 / 07 / 01）
271 - 276
Finger systolic pressure (FSP) was measured during a standardized cold test in 291 healthy male subjects divided into five age groups. The age groups showed no difference in the change in FSP (FSP%) after cold provocation at 15 and 100e. In the entire population, the lower normal limits of FSP% were estimated as 76% at 15℃ and 63%at 10℃. When a discriminating threshold of FSP%10°＜ 60% was applied to the results of the cold test of 31 referents, 65 chain saw workers with or without vibration-induced white finger (VWF), and 20 male patients with primary Raynaud's phenomenon (PRP), the sensitivity of the test to detect digital vasospasm was 84% for VWF and 95% for PRP. In the chain-saw worker group, the positive and negative predictive values of the cold test were 94%. Therefore the measurement of FSP during cold provocation can be considered a useful laboratory test to confirm Raynaud's symptoms objectively in both groups and individuals.