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Document ID (ISN)66843
CIS number 96-843
ISSN - Serial title 0105-1873 - Contact Dermatitis
Year 1996
Convention or series no.
Author(s) Lips R., Rast H., Elsner P.
Title Outcome of job change in patients with occupational chromate dermatitis
Bibliographic information Apr. 1996, Vol.34, No.4, p.268-271. Illus. 9 ref.
Abstract Patients with allergic contact dermatitis due to dichromate are reputed to have a bad prognosis. Under the Swiss Law on Accident Insurance, the Swiss National Accident Insurance Organization may issue a declaration of medical incapacity (DMI) in cases of severe occupational dichromate dermatitis. With such a DMI, an employee is not allowed to perform any further work bringing him into contact with dichromate or cement. In this study, medical records from 88 construction workers with such DMIs between 1986 and 1989 were reviewed. Follow-up was performed by standardized questionnaire: 63 patients (72%) recovered in the first few years after DMI. The majority of these patients had changed industry and strictly avoided all contact with cement or chromium salts and a few had retired early. The outcome of the study was favourable in comparison with studies from other countries without the DMI mechanism. Strict allergen avoidance, enforced by authorities, and financial support in the case of job change are crucial in improving the prognosis in occupational dichromate dermatitis.
Descriptors (primary) Switzerland; chronic diseases; skin allergies; chromates; construction industry; transfer to other work; cement dermatitis
Descriptors (secondary) allergens; adaptation of man to work; occupational diseases; eczema; sensitization; assessment of working capacity; expertise; comment on law; diagnosis
Document type D - Periodical articles
Country / State or ProvinceSwitzerland
Subject(s) Occupational pathology
Broad subject area(s) Chemical safety
Browse category(ies) Skin diseases
Construction industry and civil engineering
Inorganic substances