Hand-arm vibration syndrome with distal brachial artery occlusion

Vladyslava Bazylevska MD, Jason Strefling DO MS, Ragesh Panikkath MD, Jose Suarez MD, Leigh Ann Jenkins MD

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.


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


Article citation: Bazylevska V, Strefling J, Panikkath R, Suarez J, Jenkins LA. Hand-arm vibration syndrome with distal brachial artery occlusion. The Southwest Respiratory and Critical Care chronicles 2017;5(17):54-57
DOI: 10.12746/swrccc2017.0517.232
From: Department of Internal Medicine, Texas Tech University Health Sciences Center
Corresponding author: Vladyslava Bazylevska at vlada.bazylevska@ttuhsc.edu