'Fiddler's neck'

Peachey, R. D. G.; Matthews, C.N.A.

doi:10.1111/j.1365-2133.1978.tb03586.x

Cited by 51 publications

(35 citation statements)

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“…Many case observations have been reported on "fiddler's neck" [51-61]. Peachey and Matthews [51] systematically studied this condition that frequently affects violin and viola players.…”

Section: Resultsmentioning

confidence: 99%

Contact dermatitis and other skin conditions in instrumental musicians

2004

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BackgroundThe skin is important in the positioning and playing of a musical instrument. During practicing and performing there is a permanent more or less intense contact between the instrument and the musician's skin. Apart from aggravation of predisposed skin diseases (e.g., atopic eczema or psoriasis) due to music-making, specific dermatologic conditions may develop that are directly caused by playing a musical instrument.MethodsTo perform a systematic review on instrument-related skin diseases in musicians we searched the PubMed database without time limits. Furthermore we studied the online bibliography "Occupational diseases of performing artist. A performing arts medicine bibliography. October, 2003" and checked references of all selected articles for relevant papers.ResultsThe most prevalent skin disorders of instrumental musicians, in particular string instrumentalists (e.g., violinists, cellists, guitarists), woodwind players (e.g., flautists, clarinetists), and brass instrumentalists (e.g., trumpeters), include a variety of allergic contact sensitizations (e.g., colophony, nickel, and exotic woods) and irritant (physical-chemical noxae) skin conditions whose clinical presentation and localization are usually specific for the instrument used (e.g., "fiddler's neck", "cellist's chest", "guitar nipple", "flautist's chin"). Apart from common callosities and "occupational marks" (e.g., "Garrod's pads") more or less severe skin injuries may occur in musical instrumentalists, in particular acute and chronic wounds including their complications. Skin infections such as herpes labialis seem to be a more common skin problem in woodwind and brass instrumentalists.ConclusionsSkin conditions may be a significant problem not only in professional instrumentalists, but also in musicians of all ages and ability. Although not life threatening they may lead to impaired performance and occupational hazard. Unfortunately, epidemiological investigations have exclusively been performed on orchestra musicians, though the prevalence of instrument-related skin conditions in other musician groups (e.g., jazz and rock musicians) is also of interest. The practicing clinician should be aware of the special dermatologic problems unique to the musical instrumentalist. Moreover awareness among musicians needs to be raised, as proper technique and conditioning may help to prevent affection of performance and occupational impairment.

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“…Many case observations have been reported on "fiddler's neck" [51-61]. Peachey and Matthews [51] systematically studied this condition that frequently affects violin and viola players.…”

Section: Resultsmentioning

confidence: 99%

Contact dermatitis and other skin conditions in instrumental musicians

2004

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“…Poor hygiene and excessive perspiration in hot weather, occlusions, and friction are other important factors [1][2][3][4][5][6] . The histopathology of "fiddler's neck" frequently demonstrates hyperkeratosis, acanthosis, and histiocytic infiltrates with the presence of granulomas to foreign bodies and follicular cysts 2,6,7 . Probably as the result of the complexity of the mechanisms causing fiddler's neck, the clinical appearance and histopathology of this condition evidence a broad spectrum of skin changes as compared with other common irritant contact dermatitis variants 1,2 .…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of these skin changes probably involves a combination of factors, including increased pressure, friction, poor hygiene, and excessive perspiration [1][2][3][4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Fiddler's Neck Accompanied by Allergic Contact Dermatitis to Nickel in a Viola Player

Jue

Kim

2010

Ann Dermatol

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"Fiddler's neck" is an irritant contact dermatitis that frequently affects violin and viola players. The etiology of the skin changes associated with this condition are probably attributable to a combination of factors--including increased pressure, friction, poor hygiene, and excessive perspiration. Clinically, the lesions generally consist of a localized area of lichenification on the left side of the neck just below the angle of the jaw. Herein, we report a case of fiddler's neck in a viola player, attended by allergic contact dermatitis to the nickel in the metal fixtures of a viola. We hope that our case report draws the attention of dermatologists toward this, and many other skin problems that affect musicians.

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“…Skin conditions associated with musical instruments include a variety of allergic contact sensitizations (e.g., colophony (Murphy et al 1999) and nickel (Jue et al 2010)). In addition, the localization of dermatitis tends to be instrument-specific (e.g., "fiddler's neck" (Peachey and Matthews 1978;Jue et al 2010;Caero and Cohen 2012), "cellist's chest" (Mandell 1962), "guitar nipple" (Curtis 1974), and "flautist's chin" (Dahl 1978)). …”

Section: Contact Dermatitismentioning

confidence: 99%

Musical Instrument-Associated Health Issues and Their Management

Okoshi

Minami

Kikuchi

et al. 2017

Tohoku J. Exp. Med.

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Playing musical instruments can bring joy to people, but can also cause a wide variety of health issues that range from mild disorders to potentially fatal conditions. Although sports medicine is an established medical subspecialty, relatively few studies have investigated the health issues associated with musical instruments. Here we present an overview of these health issues. These include infections due to microorganisms, allergic reactions, as well as mechanical injuries from sustained high pressures within the oral, mediastinal, thoracic, and abdominal cavities. For example, wind instruments can potentially harbor thousands of pathogenic organisms. If several players share the same instrument, these instruments present potential hazards in the spread of infections. A fatal case of hypersensitivity pneumonitis in a bagpiper is particularly noteworthy. Similarly, a case of gastrointestinal anthrax in an animal-hide drummer is a reminder of this rare but highly fatal disease. Although not fatal, hearing-related disorders, neuromuscular issues, musculoskeletal problems, and contact dermatitis are also very common among instrumentalists. This review aims to illuminate these under-recognized health issues by highlighting both the common conditions and the rare but fatal cases.

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'Fiddler's neck'

Cited by 51 publications

References 1 publication

Contact dermatitis and other skin conditions in instrumental musicians

Contact dermatitis and other skin conditions in instrumental musicians

Fiddler's Neck Accompanied by Allergic Contact Dermatitis to Nickel in a Viola Player

Musical Instrument-Associated Health Issues and Their Management

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