Hand-arm vibration syndrome with distal brachial artery occlusion

Vladyslava Bazylevska; Jason Strefling; Ragesh Panikkath; Jose Suarez; Leigh Ann Jenkins

Vladyslava Bazylevska Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock TX
Jason Strefling Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock TX
Ragesh Panikkath Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock TX
Jose Suarez Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock TX
Leigh Ann Jenkins Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock TX

Keywords: arterial occlusion, arterial thrombosis, acute arm ischemia, occupational exposure, hand-arm vibration syndrome

Abstract

Abstract

Hand-arm vibration syndrome (HAVS) is a complex disorder of the peripheral extremities that is associated with occupational or recreational exposure to hand-transmitted vibration. Digital artery occlusion in HAVS is a common finding; however, proximal involvement is less likely. We present a case of HAVS with the initial presentation of acute limb ischemia and with thrombus burden extending from the distal brachial artery and into the ulnar and radial arteries. To our knowledge, no case of HAVS syndrome of similar severity has been previously described. This case emphasizes the potential dangers of HAVS and the necessity for proper prophylactic interventions at the workplace.

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