{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T21:33:23Z","timestamp":1780090403957,"version":"3.54.0"},"reference-count":23,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"unspecified","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fukui Rural Labor Union\uff08FRLU\uff09","award":["R20231"],"award-info":[{"award-number":["R20231"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,2]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Vibration white finger is a form of secondary Raynaud\u2019s phenomenon (RP) caused by the use of handheld vibrating tools. RP usually appears on the extremities of the fingers, and its borders are well recognised. No reports have been published on \u2018mottled\u2019 RP in continuous observation from the onset to the disappearance of RP. A man in his 60s who had been using vibrating tools such as jackhammers and tampers for 30 years presented with sensations of coldness, burning and numbness. Whole-body cold exposure was performed outdoors in winter, and RP was photographed continuously. \u2018Mottled\u2019 RP can be defined as triphasic colour changes: white, blue and red. The patient was taken off work, kept warm and medicated. His symptoms improved slightly after 10 years of follow-up, but the RP did not disappear. \u2018Mottled\u2019 RP is rare and refractory and should be recognised as a form of RP.<\/jats:p>","DOI":"10.1136\/bcr-2023-257314","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T02:30:24Z","timestamp":1705458624000},"page":"e257314","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Mottled Raynaud\u2019s phenomenon and hand-arm vibration syndrome: followed up for 10 years"],"prefix":"10.1136","volume":"17","author":[{"given":"Harukazu","family":"Hirano","sequence":"first","affiliation":[{"name":"Koyo Seikyo Clinic, Fukui Health Cooperative Association, Fukui, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,1,16]]},"reference":[{"key":"2025082711242751000_17.1.e257314.1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410396636"},{"key":"2025082711242751000_17.1.e257314.2","first-page":"282","article-title":"Hand-arm vibration syndrome and upper limb disorders associated with forestry work","volume":"95","author":"Bovenzi","year":"2004","journal-title":"Med Lav"},{"key":"2025082711242751000_17.1.e257314.3","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701443292"},{"key":"2025082711242751000_17.1.e257314.4","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2014-006389","article-title":"Prevalence, risk factors and associations of primary Raynaud\u2019s phenomenon: systematic review and meta-analysis of observational studies","volume":"5","author":"Garner","year":"2015","journal-title":"BMJ Open"},{"key":"2025082711242751000_17.1.e257314.5","doi-asserted-by":"crossref","first-page":"580","DOI":"10.7861\/clinmed.2020-0754","article-title":"Raynaud\u2019s phenomenon","volume":"20","author":"Haque","year":"2020","journal-title":"Clin Med (Lond)"},{"key":"2025082711242751000_17.1.e257314.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2014.01.020."},{"key":"2025082711242751000_17.1.e257314.7","doi-asserted-by":"publisher","DOI":"10.1161\/01.RES.0000128407.45014.58"},{"key":"2025082711242751000_17.1.e257314.8","unstructured":"Raynaud\u2019s Association . 10 myths about Raynaud\u2019s phenomenon (Raynauds.org). n.d. 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