Skin diseases - 1,481 entries found
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Kurpiewska J., Liwkowicz J., Benczek K., Padlewska K.
A survey of work-related skin diseases in different occupations in Poland
The aim was to study the prevalence of self-reported skin symptoms on hands and forearms in different occupational populations in Poland. The study was conducted on 581 healthcare workers, 61 hair stylists, 149 beauticians, 90 food services workers, 90 cleaners, 181 metal factory workers and 69 textile workers. Healthcare workers had greatest exposure. Eighty-six percent of dentists, 67% of midwives, 51% of nurses and 41% of physicians reported skin disorders. Problems with latex gloves were declared by 30% of healthcare workers. Thirty-four percent of food services workers, 24% of textile workers, 30% of metal factory workers, 21% of hair stylists and beauticians, and 64% of cleaners reported skin manifestations during the time of employment, which they thought could be work-related.
International Journal of Occupational Safety and Ergonomics, 2011, Vol.17, No.2, p.207-214. Illus. 20 ref.
A_survey_of_work-related_skin_diseases_[INTERNET_FREE_ACCESS] [in English]
Pérez A., Nebot M., Maciá M., Panadés R.
An outbreak of 400 cases of lipoatrophia semicircularis in Barcelona: Effectiveness of control measures
From February 2007 to October 2008, 1137 cases of lipoatrophia semicircularis were registered in distinct workplaces in Barcelona, Spain. A protocol to establish control measures was designed. The objective of this study was to evaluate the effectiveness of these measures. The outbreak course in relation to the implemented measures (relative humidity >50%, ground-mass electrical discharge, and avoidance of sharp-ended table edges) was analyzed. The study population consisted of 417 workers from four different workplaces. Cumulative incidences at the four workplaces were 61.6%, 24.1%, 8.8% and 5.5%. Based on discharges confirmed by medical services, the corresponding healing rates were 93%, 82%, 22% and 62%. When the three basic measures were promptly and jointly applied, 90% of the cases were resolved within 6 months.
Journal of Occupational and Environmental Medicine, July 2010, Vol.52, No.7, p.751-757. Illus. 15 ref.
An_outbreak_of_400_cases_[BUY_THIS_ARTICLE] [in English]
Geier J., Krautheim A., Uter W., Lessmann H., Schnuch A.
Occupational contact allergy in the building trade in Germany: Influence of preventive measures and changing exposure
Since 1993, assiduous efforts have been made in Germany to lower the incidence of allergic cement dermatitis by reducing the content of hexavalent chromium (Cr VI). However, the use of epoxy resin systems in the building sector increased considerably during the same period. This study analysed data of the German Information Network of Departments of Dermatology to evaluate the influence of these changing occupational exposures on frequencies of sensitization. Data of 1,153 men working in the building sector presenting with occupational skin disease in the years 1994-2008 were analysed, taking into consideration not only the year of patch testing, but also beginning and duration of their employment in the building sector. While contact sensitization to chromate decreased from 43.1 to 29.0%, sensitization to epoxy resin increased from 8.4 to 12.4%. Logistic regression analysis revealed that, compared to those who had already worked before 1994, patients having started to work after 1999 had a significantly decreased risk of chromate sensitization (odds ratio 0.42) and a significantly increased risk of sensitization to epoxy resin (odds ratio 2.79). Additionally, risk of thiuram sensitization increased with the duration of employment. These findings confirm that reducing Cr(VI) content of cement is useful in preventing allergic cement eczema, as previously found in Scandinavia. In contrast, the increasing prevalence of contact sensitization to epoxy resin components in the building sector is a cause for concern.
International Archives of Occupational and Environmental Health, Apr. 2011, Vol.84, No.4, p.403-411. Illus. 26 ref.
Occupational_contact_allergy_[INTERNET_FREE_ACCESS] [in English]
Occupational contact dermatitis among mechanics
Dermites de contact professionnelles chez les mécaniciens [in French]
Occupational skin diseases found among mechanics are mostly irritation or allergic contact dermatitis. The main chemical irritants include solvents, hydraulic fluids, waste engine oil, scouring agents, fuels, detergents, together with physical irritation factors. The main allergens include biocides, rubber additives, metals and plastics. Etiological diagnosis is based on allergy tests with special series and with products encountered at the workplace. Collective prevention involves all means available to reduce exposure. The type of glove used should be suited to the composition of the various products handled. Medical prevention involves avoiding skin contact with irritants as much as possible, and totally avoiding skin contact with allergens. These diseases are considered occupational in nature according to several lists of compensable occupational diseases in France, depending on the chemicals found in the products used in occupational settings.
Documents pour le médecin du travail, 3rd Quarter 2011, No.127, p.487-502. Illus. 91 ref.
Dermites_de_contact_chez_les_mécaniciens_[INTERNET_FREE_ACCESS] [in French]
Heathcote K., Harris E.C., Brewster V., Nevel M.A., Coggon D.
Skin disease in sheep farmers
An unusual inflammation of the pinna has been reported to occur in some sheep farmers at the time of lambing. The objective of this study was to explore the prevalence of this disorder and its possible causal associations. While on attachment to sheep farms during lambing, veterinary students used a standardized questionnaire to interview a sample of farmers about their work and about symptoms of skin inflammation in their hands, face and ears. Interviews were completed by 76 (67%) of the farmers approached. Among 74 farmers who had carried out lambing, 3 had experienced temporally related ear symptoms, all on multiple occasions. No farmers with ear symptoms had ever been involved in calving or farrowing, and no ear symptoms were reported in relation to shearing or dipping sheep. There was also an excess of hand symptoms related to lambing outdoors (24% of those who had done such work) and indoors (also 24%) compared with other farming activities. The findings suggest that temporally related ear inflammation occurs in at least 1% of farmers who carry out lambing but not in association with the farming activities. Lambing appears to be associated also with hand inflammation, but the pathology may differ from that in the pinna.
Occupational Medicine, 2011, Vol.61, p.515-517. 3 ref.
Lunt J.A., Sheffield D., Bell N., Bennett V., Morris L.A.
Review of preventative behavioural interventions for dermal and respiratory hazards
The objective of this study was to evaluate the effectiveness and processes of occupational-based behavioural interventions for workers exposed to dermal and respiratory hazards. A systematic review was conducted. Ten articles identified as being potentially relevant were included. Data were extracted according to potential sources of bias, impact and behavioural change processes used. A predominance of small effect sizes, particularly for larger samples, demonstrated limited but positive impact upon exposure. Studies contained too much heterogeneity for reliable meta-analysis. None of the studies covered the full range of behaviour change components necessary for reducing exposure risk. Recommendations for future interventions are proposed.
Occupational Medicine, 2011, Vol.61. p.311-320. 42 ref.
Occupational contact dermatitis among health care professionals
Dermatites de contact professionnelles chez les personnels de santé [in French]
Occupational skin diseases among health care professionals consist mainly of irritation and/or allergic contact dermatitis, and more rarely contact urticaria. The main irritants found at the place of work are detergents, disinfectants and plastic products. The main allergens are conserving agents, disinfectants, cosmetics, vulcanization agents in gloves, medicinal drugs and acrylates, the latter more specifically among dental care professionals. Diagnosis involves allergological testing with standard and specific series, as well as with product-specific series. Prevention involves limiting or eliminating exposure.
Documents pour le médecin du travail, Mar. 2011, No.125, p.121-139. Illus. 153 ref.
TA_88.pdf [in French]
Carder M., McNamee R., Turner S., Hussey L., Money A., Agius R.
Improving estimates of specialist-diagnosed, work-related respiratory and skin disease
Work-related skin and respiratory disease still constitute an important part of the work-related ill-health (WRIH) burden in the United Kingdom. It is therefore important to be able to accurately quantify the true incidence of these two groups of disease. The aim of this study was to improve the accuracy of the methodology to estimate clinical specialist incidence rates, with a focus on skin and respiratory disease, and specifically, to estimate the number of additional cases not captured by voluntary surveillance through The Health and Occupation Reporting (THOR) network and provide a better estimation of the true incidence of work-related skin and respiratory disease. Cases not captured by THOR in 2005-2007 due to non-participation of eligible clinical specialists and due to <100% response rates by THOR participants were estimated, and the numerator adjusted accordingly. Adjusted incidence rates were calculated using Labour Force Survey data as the denominator. During 2005-2007, 62% of skin cases and 60% of respiratory cases were likely to have been captured by THOR. After adjustment, dermatologist-derived incidence rates for skin disease were raised from 9 to 14 per 100,000 employed, while those for respiratory disease were raised from 10 to 17 per 100,000 employed. This study has provided a significant improvement in the surveillance-based methodology used to estimate the number of cases of WRIH captured by THOR and hence enabled more accurate estimations of incidence rates for clinical specialist-reported WRIH.
Occupational Medicine, 2011, Vol.61, p.33-39. Illus. 17 ref.
Oyunbileg S., Sumberzul N., Oyuntogos L., Javzmaa J., Wang J.D.
Analysis of incidence rates of occupational diseases in Mongolia, 1986-2006
The purpose of this study was to determine incidence rates and time trends of major occupational diseases in Mongolia. Information about all 4598 patients from 1986 to 2006 who were diagnosed and registered with occupational diseases by the National Center of Workplace Conditions and Occupational Diseases was retrieved. There was an increasing trend in the incidence rates of reported occupational respiratory diseases, musculoskeletal disorders, cardiovascular diseases, skin diseases, toxic hepatitis and noise-induced hearing loss. Such a trend may result from both rapid industrialization in Mongolia and increased recognition of occupational disease. Implications of these findings are discussed.
International Journal of Occupational and Environmental Health, 1st quarter 2011, Vol. 17, No.1, p.31-37. 26 ref.
Sato M., Yoshiki H., Horie M., Yano E.
A case report of acute dermatitis that developed during an experiment examining the bromination of 3-hexylthiophene
This article presents a case of acute allergic dermatitis that was likely to have been induced by 3-hexylthiophene, an aromatic compound often contained in fragrance substances. The case, who was a 27-year male researcher engaged in organic chemical synthesis for six years, was exposed to 3-hexylthiophene and its product (2-bromo-3-hexylthiophene) through an experiment in May 2004 and itching, swelling and eczema immediately developed from face to back. This case of sensitization to 3-hexylthiophene suggests that it be a possible allergen for fragrance allergy.
Journal of Occupational Medicine and Toxicology, 2010, No.5:3. 4p. Illus. 16 ref.
A_case_report.pdf [in English]
Occupational allergic skin diseases to metals. First part: contact allergies to nickel
Dermatoses professionnelles allergiques aux métaux. Première partie: allergie de contact au nickel [in French]
Occupational allergic skin diseases to nickel are mainly allergic contact dermatitis. Metallic nickel is present in the composition of many alloys and is widely used in industry. Exposed occupations include metalworkers, hairdressers, motor mechanics, cashiers, shopkeepers in contact with coins, construction workers and workers in the healthcare, food and cleaning sectors. Nickel metal and its salts are allergenic. The risk of sensitization depends on the amount of nickel ion released into the environment and the skin concentration of nickel. It is the allergen with the highest prevalence of positive patch tests. The etiological diagnosis is based on history, physical examination and testing for suspected allergy. Professional relevance of positive patch tests to nickel should be evaluated on a case-by-case basis. Prevention involves implementing all possible measures to reduce exposure. There exists a EU directive limiting the release of nickel from alloy objects: this includes jewellery, some personal items but it does not include coins or work tools. Occupational allergic skin diseases to nickel are compensated in France under Table 37 of occupational diseases in the general system of Social Security and under Table 44 for the agricultural system.
Documents pour le médecin du travail, Mar. 2010, No.121, p.91-103. Illus. 80 ref.
TA_84.pdf [in French]
Ministério do Trabalho e Emprego
Occupational skin diseases
Dermatoses occupacionais [in Portuguese]
Manual on occupational skin diseases. Contents: definition and causes of occupational skin diseases; diagnosis; physical agents; skin diseases caused by rubber and latex; skin diseases caused by solvents; skin diseases in the metals industry; skin diseases caused by nickel, chromium, cadmium, cobalt, copper, tin and zinc; skin diseases caused by plants and wood species; skin diseases caused by resins; skin diseases caused by fiber and glass wool, skin diseases caused by agrochemicals; skin diseases in the sugar cane, cashew nuts and salt sectors; skin diseases in bakers, confectioners and cooks; skin diseases among fishermen; discolorations; nail disorders; skin cancer; skin diseases caused by sport; psychodermatitis; treatment of skin diseases; prevention. Appendices: different types of PPE; medico legal aspects (establishing the causal link between the skin disease and work).
Fundacentro, Rua Capote Valente 710, São Paulo, SP 06409-002, Brazil, 2nd ed., 2010. 412p. Illus. Bibl.ref. Price: BRL: 25.00. Downloadable version free of charge.
Dermatoses_occupacionais.pdf [in Portuguese]
Lucas R., Boniface K., Hite M.
Skin disorders at sea
The purpose of this study was to characterize the types of skin disorders occurring at sea requiring acute treatment. The case logs of a tele-medicine service for United States flagged ships at sea were reviewed from March 1, 2006 until March 1, 2009. Of 1844 total cases, 10% were for skin disorders, of which 68% were infections, 14% were inflammatory, 7% were environmental and 11% were non-specific rashes. Cutaneous abscesses and cellulitis were the most common acute skin disorders encountered. In some cases, digital photographs helped remote diagnosis.
International Maritime Health, 2010, Vol.61, No.1, p.9-12. 13 ref.
Skin_disorders_at_sea.pdf [in English]
Matterne U., Diepgen T.L., Weisshaar E.
Effects of a health-educational and psychological intervention on socio-cognitive determinants of skin protection behaviour in individuals with occupational dermatoses
The aim of this study was to evaluate whether social cognitions as embodied by the theory of planned behaviour become more favourable during a tertiary inpatient individual prevention programme (TIP) and whether the model's predictions hold in a setting to which the model has not been applied, using a longitudinal design. A questionnaire was developed and administered to 101 patients before (at admission) and after (at discharge) a 3-week inpatient TIP. The scales showed good internal consistency. Before the TIP, patients had favourable cognitions towards skin protection measures and these improved during the TIP. These and other findings are discussed. The results emphasise the importance of health-educational and psychological interventions for patients with occupational skin disease.
International Archives of Occupational and Environmental Health, Feb. 2010, Vol.83, No.2, p.183-189. 51 ref.
Wulfhorst B., Bock M., Gediga G., Skudlik C.A., Allmers H., John S.M.
Sustainability of an interdisciplinary secondary prevention program for hairdressers
To assess the sustainability of an interdisciplinary medical and educational training program, 215 hairdressers suffering from occupational skin diseases (OSD) having received the intervention and a control group of 85 hairdressers who solely received dermatological treatment, were followed up at 9 months and 5 years by means of a standardized questionnaire. A subcohort of 62 participants of the intervention group was followed up again 10 years. The follow-up survey 9 months after the beginning of the program showed that 71.8% of the intervention group could remain in work as opposed to 60.0% in the control group. In the intervention group, 14.7% gave up work due to OSD versus 22.5% in the control group. In the 5-year follow-up 58.7% of the intervention group remained at work versus 29.1% of the control group. Ten years after intervention, the follow-up showed a stabilization of the effects shown by the 5-year follow-up results. These and other findings are discussed.
International Archives of Occupational and Environmental Health, Feb. 2010, Vol.83, No.2, p.165-171. Illus. 29 ref.
O'Connell R.L., White I.R., Mc Fadden J.P., White J.M.
Hairdressers with dermatitis should always be patch tested regardless of atopy status
Allergic contact dermatitis is common in hairdressers because of their exposure to chemicals used in hair dyes and permanent wave solutions. Atopic individuals are known to have a higher prevalence of leaving the occupation due to morbidity associated with hand eczema. The objective of this study was to assess which chemicals are responsible for allergic contact dermatitis in hairdressers and whether the prevalence is the same according to atopy status. A total of 729 hairdressers who had been patch tested were retrospectively identified. Allergic reactions to relevant allergens from the extended European baseline series and hairdressing series were analysed against history of atopic eczema. Of the total, 29.9% of patients had a current or past history of atopic eczema. The most frequent positive allergens were nickel sulfate (32.1%) and p-phenylenediamine (19.0%) and from the hairdressing series were glyceryl monothioglycolate (21.4%) and ammonium persulfate (10.6%). There was generally no significant difference between subjects with or without a history of atopic eczema. Implications of these findings are discussed.
Contact Dermatitis, Mar. 2010. Vol.62, No.3, p.177-181. 31 ref.
Allergens responsible for allergic contact dermatitis in occupational settings - Classification by occupation
Allergènes responsables de dermatites de contact allergiques en milieu de travail - Classement par secteur d'activité professionnelle [in French]
This article lists the main allergens reported in literature as having the potential to cause contact dermatitis, classified by sector or activity. It provides a first indication in the etiological investigation carried out by the occupational physician, the dermatologist or the allergologist faced with an eczema occurring in occupational settings.
Documents pour le médecin du travail, 3rd Quarter 2010, No.123, p.319-341. Illus. 114 ref.
TA_86.pdf [in French]
Baumeister T., Weistenhöfer W., Drexler H., Kütting B.
Spoilt for choice - evaluation of two different scoring systems for early hand eczema in teledermatological examinations
Besides improving working conditions and using personal protective equipment, early detection is most important in managing work-related hand eczema. Implementing regular teledermatological skin screenings could be helpful, but none of the published hand eczema-scores has hitherto been used in teledermatology. The aim of this study was to test and to compare two validated scores (Osnabrück hand eczema severity index (OHSI) and hand eczema severity index (HECSI)) for their suitability in an occupational telemedical screening. One hundred and twenty photographic records of the hands of 30 male wet workers were examined twice with each score. Both scores are suitable for assessing the skin condition in a teledermatological setting. The HECSI showed a better overall agreement between results of first and second examinations.
Contact Dermatitis, Apr. 2010, Vol.62, No.4, p.241-247. 16 ref.
Rui F., Bovenzi M., Prodi A., Belloni Fortina A., Romano I., Peserico A.,, Corradin M.T., Carrabba E., Larese Filon F.
Nickel, cobalt and chromate sensitization and occupation
Exposure to nickel, cobalt and chromate are important causes of occupational contact dermatitis. The aim of this study was to estimate the prevalence of nickel, cobalt and chromate allergy in a population of consecutive patients of an occupational health clinic in Italy, and to investigate the possible association with individual and occupational risk factors. A total of 14,464 patients (67.6% women and 32.4% men) with suspected allergic dermatitis underwent patch tests. The associations between patch test results and occupations were studied by multivariate logistic regression analysis. Positive reactions to nickel sulfate were observed in 24.6% of the patients, while 10.2% reacted positively to cobalt chloride and 8.7% to potassium dichromate. Nickel sensitization was higher in women aged 26-35 years in comparison with the youngest group (15-25 years) and the older group (> 45 years). In women, the prevalence of positive reactions to nickel was positively associated with metal and mechanical work. Chromate sensitization was more prevalent in building trade workers for both women and men. Cobalt sensitization was associated with textile and leather work in women.
Contact Dermatitis, Apr. 2010, Vol.62, No.4, p.225-231. 39 ref.
Paulsen E., Christensen L.P., Andersen K.E.
Dermatitis from common ivy (Hedera helix L. subsp. helix) in Europe: past, present and future
Common ivy (Hedera helix subsp. helix) is a well-known native and ornamental plant in Europe. Contact dermatitis from ivy has been regularly reported since 1899. Recently, it has been suggested that allergic contact dermatitis from the plant may be under-diagnosed, partly due to lack of commercial patch test allergens. This article presents the results of patch testing with the main common ivy allergen, falcarinol, during a 16-year period and reviews the newer literature. Cases published since 1987 were retrieved from the PubMed database. One hundred and twenty-seven Danish patients were tested with falcarinol and 10 (7.9%) tested positive. Seven were occupationally sensitized. Between 1994 and 2009, 28 new cases of contact dermatitis from ivy were reported, two of which were occupational. Only 11 of the 28 patients were tested with pure allergens. Falcarinol is not only widely distributed in the ivy family, but also in the closely related Apiaceae. Sensitization may occur in childhood or in adults pruning ivy plants or handling them in an occupational setting. In view of the ubiquity of falcarinol-containing plants and the relatively high prevalence of positive reactions in aimed patch testing, falcarinol should be considered as a priority plant allergen for commercial availability and inclusion in the plant series worldwide.
Contact Dermatitis, Apr. 2010, Vol.62, No.4, p.201-209. Illus. 38 ref.
Gómez M.E., Sanchez J.F., Cardona A.M., Pioquinto J.F., Torres P., Sanchez D., Camargo L.M., Castañeda R.A., Villamizar R.H., Cremades L.V.
Health and working conditions in carpenter's workshops in Armenia (Colombia)
A study of the health and working conditions in 10 carpenter's workshops in the municipality of Armenia (Colombia) was conducted. Working conditions of the 177 most exposed workers were examined, and exposure to wood dust and noise, as well as lighting, were measured. The state of health was surveyed using a self-report questionnaire. Results show that personal protection was not used appropriately and that some were inadequate, that half of workshops had below the minimum allowable lighting limit level (500 lux) required, and that the noise level exceeded the permissible maximum limit value (85 dBA) in all the workshops.
Industrial Health, Mar. 2010, Vol.48, No.2, p.222-230. Illus. 39 ref.
Health_and_working_conditions.pdf [in English]
Caustic ulcers caused by cement aqua: Report of a case
Chromium is widely used in various industries including the construction sector. Skin contact with cement has been associated with allergic or irritant contact dermatitis. Contact dermatitis is one of the most frequently reported health problems among construction workers. Cement burns are rarely reported and are considered a severe form of acute irritant contact dermatitis. This article reports the case of cement burn on the feet of a worker, which appeared after he spilled cement aqua over his boots and continued to wear them for five hours until the end of the work day.
Industrial Health, Mar. 2010, Vol.48, No.2, p.215-216. Illus. 11 ref.
Caustic_ulcers.pdf [in English]
Hernández Calleja A.
Biological agents. Skin diseases
Agentes biológicos. Enfermedades de la piel [in Spanish]
This information note presents an overview of the main occupational skin diseases due to exposures to biological agents and the sectors of activity where these diseases may occur. It includes other diseases due to biological substances (of animal or vegetal origin) which can cause dermatitis. The preventive measures (substitution, maintenance of equipment, personal hygiene, personal protective equipment) are also described.
Instituto Nacional de Seguridad e Higiene en el Trabajo, Ediciones y Publicaciones, c/Torrelaguna 73, 28027 Madrid, Spain, 2010. 9p. Illus. 10 ref.
Agentes_biológicos_enfermedades_de_la_piel.pdf [in Spanish]
Vander Hulst K., Kerre S., Goossens A.
Occupational allergic contact dermatitis from tetrazepam in nurses
Tetrazepam is a muscle relaxant belonging to the benzodiazepine group. Drug eruptions following ingestion of tetrazepam tablets are well known. The objective of this study was to draw the attention to occupational airborne dermatitis and/or hand dermatitis among nurses involved in crushing of tablets for elderly or disabled people. Since 2003, 16 nurses with facial (eyelid) and/or hand dermatitis, suspected to be of occupational origin, were patch tested in the dermatology department of a Belgian hospital with the medication they handled during work. Ten nurses presented with a positive patch test reaction to tablets containing tetrazepam, 14 controls remaining negative. Some of them also reacted to other drugs. Implications of these findings are discussed.
Contact Dermatitis, May 2010, Vol.62, No.5, p.303-308. Illus. 21 ref.
Kütting B., Uter W., Baumeister T., Schaller B., Weistenhöfer W., Drexler H.
Non-invasive bioengineering methods in an intervention study in 1020 male metal workers: Results and implications for occupational dermatology
Measurements of transepidermal water loss (TEWL) as an indicator of skin barrier function and colorimetry for quantifying erythema have been recommended for monitoring persons at risk of occupational hand dermatitis. A sample of 1020 male metal workers was enrolled, among which 800 participants were followed up for one year. TEWL results and colorimetry were used as effectiveness outcomes of four interventions (skin care, skin protection, both combined and control group). Findings are discussed. It is concluded that dermatological examinations at the workplace cannot be replaced by bioengineering techniques, primarily because of difficulties in achieving standardized measurement conditions.
Contact Dermatitis, May 2010, Vol.62, No.5, p.272-278. Illus. 35 ref.
Occupational skin diseases among painters
Dermatoses professionnelles chez les peintres [in French]
Painters are exposed to a wide variety of products, including scouring agents, detergents, solvents, biocides, resin monomers and their hardening agents. Occupational skin diseases observed among painters essentially consist of irritation or allergic contact dermatitis. Contents of this information sheet on occupational skin diseases among building contractor painters: composition of products and exposures; aetiology; epidemiology; diagnosis in occupational settings; diagnosis in specialized medical institutions; prognosis; prevention; compensation.
Documents pour le médecin du travail, 3rd quarter 2008, No.115, p.413-426. Illus. 67 ref.
TA_79.pdf [in French]
The prevention campaign on skin
Die Präventionskampagne Haut [in German]
This report presents the various activities undertaken during a campaign for skin protection and the prevention of skin diseases all over Germany entitled "Your skin. The most important 2m2 of your life" which ended in 2008. The reports of partners of this campaign are presented in a CD-ROM.
Deutsche Gesetzliche Unfallversicherung e.V. (DGUV), Mittelstrasse 51, 10117 Berlin, Germany, 2009, 63p. Illus. + CD-ROM.
Skin exposure to biological, physical and chemical hazards
Exposition de la peau aux risques biologiques, physiques et chimiques [in French]
This article summarizes the contents of a report prepared by the European Risk Observatory on how European Union Member States are organized to address the issues of identification, evaluation and prevention of skin exposures to biological, physical and chemical agents. Contents: methodology; types of skin diseases; compensation of skin diseases and skin exposures in the EU; notification of skin diseases; diagnosis, quantification and hazard evaluation; prevention methods in case of skin exposure; conclusion. Boxes summarize the situation of the United Kingdom, Netherlands, Finland, France and Germany. The full report can be downloaded from the following URL: http://osha.europa.eu/en/publications/reports/TE7007049ENC_skin_diseases
Prevent Focus, Feb. 2009, p.16-19. Illus. 1 ref.
Dai Y., Leng S., Li L., Niu Y., Huang H., Liu Q., Duan H., Cheng J., Zheng Y.
Effects of genetic polymorphisms of N-acetyltransferase on trichloroethylene-induced hypersensitivity dermatitis among exposed workers
This case-control study was conducted to investigate effects of various genotypes and phenotypes of N-acetyltransferases (NATs) on individual susceptibility to trichloroethylene (TCE)-induced hypersensitivity dermatitis. The study involved 111 patients with hypersensitivity dermatitis and 154 healthy TCE-exposed workers. Polymerase chain reaction-restriction fragment length polymorphism was used to detect the polymorphic sites of NATs. Data were subjected to logistic regression analyses. Findings are discussed.
Industrial Health, Sep. 2009, Vol.47, No.5, p.479-486. 41 ref.
http://www.jniosh.go.jp/en/indu_hel/pdf/IH_47_5_479.pdf [in English]
Kezic S., Visser M.J., Verberk M.M.
Individual susceptibility to occupational contact dermatitis
The purpose of this literature survey was to review the present knowledge on the factors which determine individual susceptibility to occupational contact dermatitis (OCD). Recent discoveries regarding genes involved in the skin barrier, inflammatory response and biotransformation of xenobiotics provide more insight in the individual susceptibility for OCD. Knowledge of the factors which predispose to OCD will be useful in occupational health practice for the application of preventive measures and for career guidance for apprentices and workers in high risk occupations.
Industrial Health, Sep. 2009, Vol.47, No.5, p.469-478. 93 ref.
http://www.jniosh.go.jp/en/indu_hel/pdf/IH_47_5_469.pdf [in English]
Thyssen J.P., Milting K., Bregnhøj A., Søsted H., Duus Johansen J., Menné T.
Nickel allergy in patch-tested female hairdressers and assessment of nickel release from hairdressers' scissors and crochet hooks
The objective of this study was to determine the proportion of hairdressers' scissors and crochet hooks that released an excessive amount of nickel and to determine the prevalence of nickel allergy among patch-tested female hairdressers. Random hairdressers' stores in Copenhagen, Denmark, were visited and samples of tools were collected and analyzed. The prevalence of nickel allergy among female hairdressers was determined from the database of a Danish dermatology clinic. One of 200 pairs of scissors and seven of thirteen crochet hooks released an excessive amount of nickel. The prevalence of nickel allergy was lower among young hairdressers in comparison to older hairdressers. Implications of these findings are discussed.
Contact Dermatitis, Nov. 2009, Vol.61, No.5, p.281-286. Illus. 38 ref.
Mälkönen T., Jolanki R., Alanko K., Luukkonen R., Aalto-Korte K., Lauerma A., Susitaival P.
A 6-month follow-up study of 1048 patients diagnosed with an occupational skin disease
The objective of this study was to determine the medical and occupational outcome in 1048 patients diagnosed with an occupational skin disease (OSD) at the Finnish Institute of Occupational Health and to identify the risk factors for the continuation of OSD. Patients examined in 1994-2001 filled out a follow-up questionnaire six months after the diagnosis, at which time the skin disease had healed in 27% of the patients. The risk factors for continuing occupational contact dermatitis were no changes in work, age over 45 years, food-related occupations, respiratory atopy and male sex.
Contact Dermatitis, Nov. 2009, Vol.61, No.5, p.261-268. 49 ref.
Slodownik D., Williams J., Frowen K., Palmer A., Matheson M., Nixon R.
The additive value of patch testing with patients' own products at an occupational dermatology clinic
Patch testing with commercially available kits detects only 70-80% of relevant allergens in patients with contact dermatitis. This study analyzed data regarding reactions to the products to which patients are exposed in their occupational settings. During a five-year period, 1532 patients were assessed at an Australian occupational dermatology clinic. It was found that 101 patients reacted to the samples they had brought themselves. In 20 cases, reacting to their own samples was the only clue for detecting the responsible allergen, while in 59 cases, testing with their own samples reinforced their reactions to commercial allergens.
Contact Dermatitis, Oct. 2009, Vol.61, No.4, p.231-235. 19 ref.
Baumeister T., Weistenhöfer W., Drexler H., Kütting B.
Prevention of work-related skin diseases: Teledermatology as an alternative approach in occupational screenings
This cross-sectional study was aimed at determining whether teledermatological examinations were equally sensitive and specific at detecting skin lesions as conventional face-to-face examinations. When examining skin conditions of 100 male wet workers, tele-examinations tended to assess the skin condition more critically than face-to-face examinations. Teledermatological examinations are sufficiently sensitive in detecting early signs of hand eczema, although signs for chronicity may get overestimated. Implications of these findings are discussed.
Contact Dermatitis, Oct. 2009, Vol.61, No.4, p.224-230. Illus. 40 ref.
The continuing rise of contact dermatitis - Part 1 and 2
This literature survey reviews the history and development of contact dermatitis in a first part, while a second part provides a comprehensive analysis of contact dermatitis for the period between 1977 and 2006, during which literature citations increased six-fold.
Contact Dermatitis, Oct. 2009, Vol.61, No.4, p.189-200. Illus. 96 ref.
Matterne U., Apfelbacher C.J., Soder S., Diepgen T.L., Weisshaar E.
Health-related quality of life in health care workers with work-related skin diseases
The objective of this study was to describe health-related quality of life among health care workers with suspected occupational skin diseases. Data were collected by means of questionnaires from 278 health care workers with suspected occupational skin diseases. Although these workers display considerable health-related quality of life impairments, their general physical functioning and general health perception appear less affected than expected. Other findings are discussed.
Contact Dermatitis, Sep. 2009, Vol.61, No.3, p.145-151. 30 ref.
Occupational skin diseases from crop protection products
Dermatoses professionnelles aux produits phytosanitaires [in French]
Occupational skin diseases caused by crop protection products consist primarily of irritation contact dermatitis, which may be sometimes severe, and more rarely of allergic contact dermatitis. By far the most exposed occupations are farm workers using crop protection products or working on treated crops. Many pesticides approved in France are toxic to the skin. Diagnosis is based on anamnesis, clinical examinations and skin tests with products used at work in cases of suspected allergy.
Documents pour le médecin du travail, 3rd Quarter 2009, No.119, p.347-364. Illus. 77 ref.
http://www.dmt-prevention.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TA%2083/$File/TA83.pdf [in French]
Neumark M., Moshe S., Ingber A., Slodownik D.
Occupational airborne contact dermatitis to simvastatin, carvedilol and zolpidem
A 26-year-old atopic male machine operator in a pharmaceutical factory with a six-month history of dermatitis on his eyelids, cheeks, lips, nose and nasolabial folds was referred to the dermatology department of an Israeli hospital. Patch tests were carried out with standard series and specific products, including chemicals used in the plant. Positive reactions were found to three of these substances (simvastatin, carvedilol and zolpidem).
Contact Dermatitis, July 2009, Vol.61, No.1, p.51-52. 3 ref.
Andersen S.L., Rastogi S.C., Andersen K.E.
Occupational allergic contact dermatitis to hydroxyethyl methacrylate (2-HEMA) in a manicurist
A 35-year-old woman who had been a manicurist for 14 years, presented at the dermatology department of a Danish hospital with hand eczema and severe pulpitis and nail dystrophy. Patch tests were carried out with standard series and specific products, including selected allergens from a series of adhesives and acrylate chemicals. A positive reaction was found to hydroxyethyl methacrylate, a component of artificial nails.
Contact Dermatitis, July 2009, Vol.61, No.1, p.48-50. 11 ref.
Kerre S., Goossens A.
Allergic contact dermatitis to ethylene oxide
A 35-year-old nurse presented at the dermatology department of a Belgian hospital with a two-month history of contact dermatitis affecting both forearms. Patch tests were carried out with standard series and specific products, including one piece of surgical gown sterilized and another piece not sterilized with ethylene oxide. A positive reaction was found to the sterilized gown.
Contact Dermatitis, July 2009, Vol.61, No.1, p.47-48. 6 ref.
Uter W., Rämsch C., et al.
The European baseline series in 10 European countries, 2005/2006 - Results of the European Surveillance System on Contact Allergies (ESSCA)
The objective of this study was to provide a current view of the spectrum of contact allergy to important sensitizers across Europe. Clinical and patch test data of 19,793 patients patch tested in 2005/2006 in 31 dermatology departments of 10 European countries were analyzed. Nickel sulfate remains the most common allergen with standardized prevalences ranging from 19.7% (central Europe) to 24.4% (southern Europe). Regional differences were also found to exist for several other allergens.
Contact Dermatitis, July 2009, Vol.61, No.1, p.31-38. 20 ref.
Aalto-Korte K., Jungewelter S., Henriks-Eckerman M.L., Kuuliala O., Jolanki R.
Contact allergy to epoxy (meth)acrylates
The objective of this study was to analyse patterns of allergic reactions to five epoxy acrylates and methacrylates in relation to exposure. The 1994-2008 patch test files at the Finnish Institute of Occupational Health were reviewed for possible mention of reactions to the five substances, and patients' medical records were reviewed for possible mention of exposure. Twenty-four patients had an allergic reaction to at least one of the studied substances. Further details are discussed and two case reports are presented.
Contact Dermatitis, July 2009, Vol.61, No.1, p.9-21. Illus. 44 ref.
Radespiel-Tröger M., Meyer M., Pfahlberg A., Lausen B., Uter W., Gefeller O.
Outdoor work and skin cancer incidence: A registry-based study in Bavaria
The association between occupational ultraviolet (UV) light exposure and skin cancer (basal cell carcinoma, BCC; squamous cell carcinoma, SCC; cutaneous malignant melanoma, CMM) was analysed based on data from the Bavarian cancer registry for the years 2001-2005. Exposures to UV radiation were estimated based on job titles. The risk of BCC was substantially elevated in male (relative risk (RR), 2.9) and female (RR 2,7) outdoor workers compared to indoor workers. An elevated risk of similar magnitude for SCC was also found in male (RR 2.5) and female (RR 3.6) outdoor workers. However the CMM risk was not significantly associated with outdoor work.
International Archives of Occupational and Environmental Health, Feb. 2009, Vol.82, No.3, p.357-363. 53 ref.
Winker R., Salameh B., Stolkovich S., Nikl M., Barth A., Ponocny E., Drexler H., Tappeiner G.
Effectiveness of skin protection creams in the prevention of occupational dermatitis: Results of a randomized, controlled trial
The aim of this study was to investigate whether the publicized beneficial effects of skin protection creams could be confirmed under real working conditions during activities that expose the skin. Controlled randomized trials were performed to compare the effects of a skin protection cream before work, a skin care cream after work and hand cleansing, individually and in combination. A total of 1,006 workers from the building and timber industries were recruited, among whom 485 were examined longitudinally at least three times during one year. The main finding was that skin protection creams alone have little effect on the skin barrier expressed in terms of transepidermal water loss, while when used in combination with skin care creams, they allow moderate improvement.
International Archives of Occupational and Environmental Health, Apr. 2009, Vol.82, No.5, p.653-662. Illus. 33 ref.
Contact urticaria as an occupational disease
Urtikaria als Berufskrankheit [in German]
L'urticaire comme maladie professionnelle [in French]
Unlike contact eczema, occupational urticaria is rare. This study reviewed all cases of urticaria having been recognized as an occupational disease in Switzerland from 1984 to 2005. It highlights a wide variety of causes and activities. A quarter of the cases of contact urticaria were accompanied by non-skin symptoms which in 6% of cases involved acute anaphylactic reactions.
Suva Medical, 2009, No.80, p.60-63. Illus.
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_80_09_d.pdf [in German]
https://wwwsapp1.suva.ch/sap/public/bc/its/mimes/zwaswo/99/pdf/02869_80_09_f.pdf [in French]
Leggat P.A., Smith D.R., Speare R.
Hand dermatitis among veterinarians from Queensland, Australia
Although hand dermatitis (HD) represents a frequent occupational issue for many health professionals, little is known about the prevalence and distribution of HD among veterinarians, particularly in Australia. A questionnaire on HD was mailed to 1094 veterinarians registered with the Veterinary Surgeons Board of Queensland during 2006 (64.0% response rate). The overall prevalence rate of HD during this study was 15.9%. HD prevalence was significantly higher in those with current allergic disease, among female veterinarians and those reporting latex allergy in the past 12 months. Overall, this study suggests that HD may be more prevalent among veterinarians in Queensland than among their counterparts studied elsewhere. Results are commented.
Contact Dermatitis, June 2009, Vol.60, No.6, p.336-338. 22 ref.
Mirabelli M.C, Zock J.P., Bircher A.J., Jarvis D., Keidel D., Kromhout H., Norbäck D., Olivieri M., Plana E., Radon K, Schindler C, Schmid-Grendelmeier P., Torén K., Villani S., Kogevinas M
Metalworking exposures and persistent skin symptoms in the ECRHS II and SAPALDIA 2 cohorts
This analysis was conducted to assess the associations between metalworking exposures and current and persistent skin symptoms among male and female participants in two population-based epidemiologic studies in Europe: the European Community Respiratory Health Survey II (ECRHS II) and the Swiss Cohort Study on Air Pollution and Lung and Heart Disease in Adults 2 (SAPALDIA 2). Each participant completed interviewer-administered questionnaires to provide information about symptoms and exposures related to selected occupations, including metalworking, during the follow-up periods. The associations between skin symptoms and the frequency of metalworking exposures among 676 ECRHS II/SAPALDIA 2 respondents were analysed. Current skin symptoms were reported by 10% of metalworkers and were associated with frequent use of oil-based metalworking fluids and organic solvent/degreasing. The findings justify assessing strategies for reducing the frequency of metal-related exposures.
Contact Dermatitis, May 2009, Vol.60, No.5, p.256-263. 20 ref.
Lessmann H., Uter W., Schnuch A., Geier J.
Skin sensitizing properties of the ethanolamines mono-, di-, and triethanolamine. Data analysis of a multicentre surveillance network (IVDK*) and review of the literature
Numerous publications address the skin sensitizing potential of the short chain alkanolamines triethanolamine (TEA), diethanolamine (DEA), monoethanolamine (MEA), which are not skin sensitizing according to animal studies. In this work, data of the literature on MEA, DEA and TEA as well as data of a multicentre surveillance network were analyzed. For TEA, patch test data of 85,098 patients were examined. Altogether, 323 patients (0.4%) tested positive. The profile of patch test reactions indicates a slightly irritant potential rather than a true allergic response in many cases. The risk of sensitization to TEA seems to be very low. For MEA and DEA, patch tests in 9602 and 8791 patients, respectively revealed a prevalence of contact allergy of 3.8% and 1.8%. Chronic damage to the skin barrier, the alkalinity of ethanolamines and other cofactors may contribute to a notable sensitization risk.
Contact Dermatitis, May 2009, Vol.60, No.5, p.243-255. 83 ref.
Xu X., Yang R., Wu N, Zhong P., Ke Y., Zhou L., Yuan J., Li G., Huang H, Wu B.
Severe hypersensitivity dermatitis and liver dysfunction induced by occupational exposure to trichloroethylene
This study examines trichloroethylene (TCE)-induced dermatitis in 21 patients and investigates their occupational exposure as well as their clinical features. TCE concentrations in the workplace air were also monitored. Additionally, the symptoms, signs and laboratory test results of patients were collected. TCE concentrations in the cleaning agent used in the industries in which the patients worked varied from 10.2% to 91.4% by gas chromatography-mass chromatography analysis, and TCE levels in the workplace air ranged between 18 and 683 mg/m3. Most patients had symptoms such as headache (90.5%), dizziness (100%), skin itch (100%), fever (61.9%), skin erythema (85.7%) and rashes (90.5%). In addition, liver enlargement occurred in 3 patients; the abnormal rate of alanine aminotransferase, aspartate aminotransferase, total bilirubin were 90.5%, 85.7% and 76.2%, respectively. Taken together, the major detrimental effect of trichloroethylene was to induce hypersensitivity dermatitis and liver dysfunction, the occurrence of this disorder being most likely related to the individual hypersensitivity to TCE exposure.
Industrial Health, Mar. 2009, Vol.47, No.2, p.107-112. Illus. 33 ref.
http://www.jstage.jst.go.jp/article/indhealth/47/2/107/_pdf/-char/ja/ [in English]
Contact dermatitis caused by personal protective equipment (PPE)
Dermatites de contact aux équipements de protection individuelle (EPI) [in French]
Occupational skin diseases caused by personal protective equipment (PPE) essentially consist of irritant and/or allergic contact dermatitis and contact urticaria. Exposed occupations depend on the type of PPE used. This information note describes the types of PPE likely to cause contact dermatitis (gloves, shoes and boots, work clothing, diving equipment) and the responsible allergens. Aetiological diagnosis is based on anamnesis, clinical examinations and allergy tests. Collective prevention should make full use all of measures likely to reduce exposure, and the substitution of latex and the most common allergens in PPEs should be implemented wherever possible. Medical prevention is based on stopping all occupational and non occupational contact with the responsible allergens.
Documents pour le médecin du travail, 1st Quarter 2009, No.117, p.89-103. Illus. 93 ref.
http://www.inrs.fr/inrs-pub/inrs01.nsf/IntranetObject-accesParReference/TA%2081/22.06File/TA81.pdf [in French]
Apfelbacher C.J., Soder S., Diepgen T.L., Weisshaar E.
The impact of measures for secondary individual prevention of work-related skin diseases in health care workers: 1-year follow-up study
The objective of this study was to investigate the outcome of occupational skin disease among health care workers (HCW) one year after attendance of a secondary individual prevention (SIP) course. Two hundred and fifty-three HCW participated in a secondary individual prevention course and were contacted by telephone one year after attendance. The follow-up rate was 81%. The proportion of participants reporting skin lesions decreased significantly (68% at follow-up compared with 77% at baseline). Seventy-two per cent reported that their skin lesions had improved. Nine per cent reported having left their occupation due to their skin disease. Skin care and skin protection had improved, while the frequency of reported hand washing was reduced. Twenty-seven per cent said their quality of life was impaired due to the skin disease, compared with 54% at baseline. These findings indicate a positive impact of SIP courses.
Contact Dermatitis, Mar. 2009, Vol.60, No.3, p.144-149. Illus. 18 ref.
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