Raynaud's Phenomenon in a Slap Bass Player: A Case Report.

Secondary Raynaud's phenomenon is a frequent condition related to occupational exposure to local vibration but has not been described in musicians. This study aims to describe cold-induced blanching of the right second and (in particular) third digits in a 67-year-old double bass player following decades of cumulative repetitive blunt trauma to the fingers from slapping the strings.A physical examination was undertaken and systolic blood pressure measured before and after cold provocation.At 10 deg C the brachial systolic blood pressure was 156 mm Hg while blood pressure was immeasurable at the finger level, corresponding to a finger/brachial index of 0% of the second and third fingers.This is the first reported case of objectively verified, playing-related Raynaud's phenomenon in a musician.