Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease Patients
Objective. Correlation between a low finger temperature and thermal disparity among fingers was studied in connective tissue disease (CTD) patients. Whether the thermal disparity may be ameliorated by hand immersion in a warm carbon dioxide- (CO2-) water bath was analyzed. Methods. CTD patients with...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/6699029 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552503004102656 |
|---|---|
| author | Shigeko Inokuma Yasuo Kijima |
| author_facet | Shigeko Inokuma Yasuo Kijima |
| author_sort | Shigeko Inokuma |
| collection | DOAJ |
| description | Objective. Correlation between a low finger temperature and thermal disparity among fingers was studied in connective tissue disease (CTD) patients. Whether the thermal disparity may be ameliorated by hand immersion in a warm carbon dioxide- (CO2-) water bath was analyzed. Methods. CTD patients with suspected peripheral circulation disorder underwent a thermography test. From before to 30 min after hand immersion in CO2-water (CO2 bathing; 1000 ppm CO2, 42°C, 10 min), the nailfold temperatures were measured. The mean temperature (m-Temp) and the coefficient of variation of the temperature (CV=SD/m‐Temp of one hand; the mean of CVs of both hands was adopted as the indicator of thermal disparity) were monitored. The correlation between m-Temp and CV was also analyzed. Results. Forty-seven (45 females and 2 males) patients were included, 32 of whom had Raynaud’s phenomenon. The m-Temp was 30.8±3.0°C at the baseline, increased to 35.3±1.0°C immediately after CO2 bathing, and remained significantly higher than that at the baseline until 30 min after (32.1±1.9°C). The CV was 0.0291±0.0247 at the baseline, decreased to 0.0135±0.0039 immediately after CO2 bathing, and remained significantly lower than the baseline until 30 min after (0.0163±0.0143). Between m-Temp and CV, a negative correlation was observed throughout the measurements. Conclusion. Thermal disparity was observed at baseline measurement in CTD patients. Warm CO2 bathing markedly ameliorated the disparity, and this amelioration remained until after 30 min. Throughout the observation, the lower the m-Temp, the more severe the thermal disparity among fingers. |
| format | Article |
| id | doaj-art-61c8f05698c243858090adf6d724c799 |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-61c8f05698c243858090adf6d724c7992025-02-03T05:58:26ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322021-01-01202110.1155/2021/66990296699029Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease PatientsShigeko Inokuma0Yasuo Kijima1Department of Allergy and Rheumatism, Chiba Central Medical Center, Department of Rheumatic Diseases, Kohnodai Hospital, National Center for Global Health and Medicine, Chiba-shi, Chiba, JapanJapanese Red Cross Medical Center, Shibuya-ku, Tokyo, JapanObjective. Correlation between a low finger temperature and thermal disparity among fingers was studied in connective tissue disease (CTD) patients. Whether the thermal disparity may be ameliorated by hand immersion in a warm carbon dioxide- (CO2-) water bath was analyzed. Methods. CTD patients with suspected peripheral circulation disorder underwent a thermography test. From before to 30 min after hand immersion in CO2-water (CO2 bathing; 1000 ppm CO2, 42°C, 10 min), the nailfold temperatures were measured. The mean temperature (m-Temp) and the coefficient of variation of the temperature (CV=SD/m‐Temp of one hand; the mean of CVs of both hands was adopted as the indicator of thermal disparity) were monitored. The correlation between m-Temp and CV was also analyzed. Results. Forty-seven (45 females and 2 males) patients were included, 32 of whom had Raynaud’s phenomenon. The m-Temp was 30.8±3.0°C at the baseline, increased to 35.3±1.0°C immediately after CO2 bathing, and remained significantly higher than that at the baseline until 30 min after (32.1±1.9°C). The CV was 0.0291±0.0247 at the baseline, decreased to 0.0135±0.0039 immediately after CO2 bathing, and remained significantly lower than the baseline until 30 min after (0.0163±0.0143). Between m-Temp and CV, a negative correlation was observed throughout the measurements. Conclusion. Thermal disparity was observed at baseline measurement in CTD patients. Warm CO2 bathing markedly ameliorated the disparity, and this amelioration remained until after 30 min. Throughout the observation, the lower the m-Temp, the more severe the thermal disparity among fingers.http://dx.doi.org/10.1155/2021/6699029 |
| spellingShingle | Shigeko Inokuma Yasuo Kijima Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease Patients International Journal of Vascular Medicine |
| title | Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease Patients |
| title_full | Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease Patients |
| title_fullStr | Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease Patients |
| title_full_unstemmed | Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease Patients |
| title_short | Thermal Disparity among Fingers and Its Amelioration by CO2-Water Bathing in Connective Tissue Disease Patients |
| title_sort | thermal disparity among fingers and its amelioration by co2 water bathing in connective tissue disease patients |
| url | http://dx.doi.org/10.1155/2021/6699029 |
| work_keys_str_mv | AT shigekoinokuma thermaldisparityamongfingersanditsameliorationbyco2waterbathinginconnectivetissuediseasepatients AT yasuokijima thermaldisparityamongfingersanditsameliorationbyco2waterbathinginconnectivetissuediseasepatients |