Manifestations of cold sensitivity – a case series
Objectives: To characterise cold sensitivity using a semi-structured interview, physical examination, thermal quantitative sensory testing (QST), and laser speckle contrast analysis (LASCA). Methods: Eight women and four men, ages 22–74, with cold sensitivity were interviewed and examined by an occu...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Taylor & Francis Group
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1080/22423982.2020.1749001 https://doaj.org/article/26de04a544074e4ea1919e404ff18d5b |
id |
ftdoajarticles:oai:doaj.org/article:26de04a544074e4ea1919e404ff18d5b |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:26de04a544074e4ea1919e404ff18d5b 2023-05-15T15:07:27+02:00 Manifestations of cold sensitivity – a case series Albin Stjernbrandt Bodil Björ Hans Pettersson Ronnie Lundström Ingrid Liljelind Tohr Nilsson Jens Wahlström 2020-01-01T00:00:00Z https://doi.org/10.1080/22423982.2020.1749001 https://doaj.org/article/26de04a544074e4ea1919e404ff18d5b EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2020.1749001 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2020.1749001 https://doaj.org/article/26de04a544074e4ea1919e404ff18d5b International Journal of Circumpolar Health, Vol 79, Iss 1 (2020) (mesh): hand cold exposure occupational exposure hand-arm vibration frostbite nerve injury sweden Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1080/22423982.2020.1749001 2022-12-31T11:27:56Z Objectives: To characterise cold sensitivity using a semi-structured interview, physical examination, thermal quantitative sensory testing (QST), and laser speckle contrast analysis (LASCA). Methods: Eight women and four men, ages 22–74, with cold sensitivity were interviewed and examined by an occupational physician. Thermal perception thresholds were established using QST, on the pulp of the index and little finger of the most affected hand. Skin perfusion in the dorsum of the hand was measured using LASCA, at baseline, after two-minute 12°C water immersion, and during rewarming. Results: The physical examination yielded few findings indicative of vascular or neurosensory pathology. One subject (8%) had impaired thermal perception thresholds. LASCA at baseline showed absent proximal-distal perfusion gradients in six subjects (50%), and a dyshomogeneous perfusion pattern in five (42%). Perfusion on a group level was virtually unchanged by cold stress testing (median 52.5 PU; IQR 9.0 before versus 51.3 PU; IQR 27.2 afterwards). Conclusions: Physical examination and thermal QST offered little aid in diagnosing cold sensitivity, which challenges the neurosensory pathophysiological hypothesis. LASCA indicated disturbances in microvascular regulation and could prove a useful tool in future studies on cold sensitivity. Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 79 1 1749001 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
(mesh): hand cold exposure occupational exposure hand-arm vibration frostbite nerve injury sweden Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
(mesh): hand cold exposure occupational exposure hand-arm vibration frostbite nerve injury sweden Arctic medicine. Tropical medicine RC955-962 Albin Stjernbrandt Bodil Björ Hans Pettersson Ronnie Lundström Ingrid Liljelind Tohr Nilsson Jens Wahlström Manifestations of cold sensitivity – a case series |
topic_facet |
(mesh): hand cold exposure occupational exposure hand-arm vibration frostbite nerve injury sweden Arctic medicine. Tropical medicine RC955-962 |
description |
Objectives: To characterise cold sensitivity using a semi-structured interview, physical examination, thermal quantitative sensory testing (QST), and laser speckle contrast analysis (LASCA). Methods: Eight women and four men, ages 22–74, with cold sensitivity were interviewed and examined by an occupational physician. Thermal perception thresholds were established using QST, on the pulp of the index and little finger of the most affected hand. Skin perfusion in the dorsum of the hand was measured using LASCA, at baseline, after two-minute 12°C water immersion, and during rewarming. Results: The physical examination yielded few findings indicative of vascular or neurosensory pathology. One subject (8%) had impaired thermal perception thresholds. LASCA at baseline showed absent proximal-distal perfusion gradients in six subjects (50%), and a dyshomogeneous perfusion pattern in five (42%). Perfusion on a group level was virtually unchanged by cold stress testing (median 52.5 PU; IQR 9.0 before versus 51.3 PU; IQR 27.2 afterwards). Conclusions: Physical examination and thermal QST offered little aid in diagnosing cold sensitivity, which challenges the neurosensory pathophysiological hypothesis. LASCA indicated disturbances in microvascular regulation and could prove a useful tool in future studies on cold sensitivity. |
format |
Article in Journal/Newspaper |
author |
Albin Stjernbrandt Bodil Björ Hans Pettersson Ronnie Lundström Ingrid Liljelind Tohr Nilsson Jens Wahlström |
author_facet |
Albin Stjernbrandt Bodil Björ Hans Pettersson Ronnie Lundström Ingrid Liljelind Tohr Nilsson Jens Wahlström |
author_sort |
Albin Stjernbrandt |
title |
Manifestations of cold sensitivity – a case series |
title_short |
Manifestations of cold sensitivity – a case series |
title_full |
Manifestations of cold sensitivity – a case series |
title_fullStr |
Manifestations of cold sensitivity – a case series |
title_full_unstemmed |
Manifestations of cold sensitivity – a case series |
title_sort |
manifestations of cold sensitivity – a case series |
publisher |
Taylor & Francis Group |
publishDate |
2020 |
url |
https://doi.org/10.1080/22423982.2020.1749001 https://doaj.org/article/26de04a544074e4ea1919e404ff18d5b |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health |
op_source |
International Journal of Circumpolar Health, Vol 79, Iss 1 (2020) |
op_relation |
http://dx.doi.org/10.1080/22423982.2020.1749001 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2020.1749001 https://doaj.org/article/26de04a544074e4ea1919e404ff18d5b |
op_doi |
https://doi.org/10.1080/22423982.2020.1749001 |
container_title |
International Journal of Circumpolar Health |
container_volume |
79 |
container_issue |
1 |
container_start_page |
1749001 |
_version_ |
1766338951923105792 |