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A postwoman delivering mail using a low-powered motorcycle was diagnosed with bilateral Raynaud's phenomenon.
This case report presents the hypothesis that the effect of HAV may result not in a single disorder, but in multiple disorders. Although occupational epidemiological studies do not usually address comorbidity, it is not uncommon for exposure to produce multiple effects (e.g. an association between HAV and tendonitis has been reported) . Comorbidity due to occupational exposure therefore needs further epidemiological investigation. For 15 years the woman had driven a two-stroke 50 cc motorcycle to deliver mail and was exposed to hand-arm vibration for 4 h/day. Before delivering the mail, she had...

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