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Vibration disease: plasma electrolytes and trace elements

D Tzvetkov1, V Kostova, F Razboynikova

  • 1Department of Hygiene, Ecology & Occupational Diseases, National Centre of Hygiene, Medical Ecology & Nutrition, Sofia, Bulgaria.

Reviews on Environmental Health
|January 1, 1994
PubMed
Summary

Vibration exposure significantly alters mineral metabolism, with many patients showing elevated magnesium, zinc, cobalt, manganese, and plasma osmolality. These changes are likely secondary to other vibration-induced pathological effects.

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Area of Science:

  • Occupational Health
  • Environmental Medicine
  • Biochemistry

Background:

  • Vibration disease is a condition linked to occupational exposure to vibrating tools.
  • Understanding the biochemical changes associated with vibration exposure is crucial for diagnosis and management.

Purpose of the Study:

  • To investigate plasma electrolytes, trace elements, and osmolality in patients with vibration disease.
  • To correlate these biochemical findings with specific tests indicative of vibration exposure.

Main Methods:

  • Studied 102 patients diagnosed with vibration disease.
  • Measured plasma levels of electrolytes and trace elements (sodium, potassium, calcium, magnesium, phosphorus, chloride, iron, copper, zinc, cobalt, manganese) and plasma osmolality.
  • Performed cold provocation tests, assessed vibration sense, thermoasymmetry, skin electric resistance, and hand/finger blood flow using Doppler-ultrasound sonometry.

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Main Results:

  • Elevated magnesium (43%), zinc (45%), cobalt (57%), manganese (70%), and plasma osmolality (66%) were observed in a significant number of patients.
  • Specific tests indicated widespread pathological changes related to vibration exposure.

Conclusions:

  • Occupational vibration exposure appears to affect mineral metabolism.
  • Observed disturbances in mineral metabolism are likely secondary to broader pathological changes induced by vibration.