Clinical patterns and associated factors in patients with hand eczema of primarily occupational origin

Brans, Richard; John, Swen Malte

doi:10.1111/jdv.13515

Cited by 25 publications

(27 citation statements)

References 37 publications

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“…Finally, atopic dermatitis is a well‐known risk factor for more severe and chronic hand eczema . The number of patients with atopic hand eczema in this study was in line with previous studies (21.5%‐57.5%) …”

Section: Discussionsupporting

confidence: 91%

“…34 The number of patients with atopic hand eczema in this study was in line with previous studies (21.5%-57.5%). 32,33 A limitation of our study is the monocentric design in a tertiary referral center. Presumably this patient cohort included more patients with a difficult-to-treat hand eczema in all groups.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, we found a high proportion of patients with allergic contact dermatitis (40%), compared with other studies. 32,33 A possible explanation is the fact that our center is a tertiary reference center for hand eczema. Finally, atopic dermatitis is a well-known risk factor for more severe and chronic hand eczema.…”

Section: Discussionmentioning

confidence: 99%

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Quality of life, treatment satisfaction, and adherence to treatment in patients with vesicular hand eczema: A cross‐sectional study

et al. 2020

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Background Recurrent vesicular hand eczema frequently has a chronic course and needs long‐term treatment. Objectives To evaluate health‐related quality of life (HRQoL), treatment satisfaction, and adherence in patients with vesicular hand eczema. Methods Patients using one main treatment for at least three months were included. Data on HRQoL (Quality of Life in Hand Eczema Questionnaire [QOLHEQ]), treatment satisfaction (Treatment Satisfaction Questionnaire for Medication, version II), and treatment adherence (4‐item Morisky Medication Adherence Scale) were collected. Univariate and multivariate regression analysis were used to predict variables associated with HRQoL. Results HRQoL was moderately impaired, with the highest impact in the QOLHEQ subdomain symptoms. Female sex, more severe hand eczema, and lower treatment satisfaction were associated with more impairment in HRQoL. Patients with severe/very severe hand eczema had significant lower “global satisfaction” scores compared with the other severity groups. The “global satisfaction” and treatment adherence in patients using systemic treatment were significantly higher compared with those with only topical treatment. Conclusions In patients with vesicular hand eczema disease severity affects both HRQoL and treatment satisfaction. Systemic treatment of severe hand eczema could improve the severity and as a result also HRQoL, treatment satisfaction, and medication adherence.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Quality of life, treatment satisfaction, and adherence to treatment in patients with vesicular hand eczema: A cross‐sectional study

et al. 2020

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“…With respect to lifestyle factors, recent reports have indicated associations between hand eczema and tobacco smoking, physical activity, and high BMI , although there is no agreement on this , which might be attributable to the variable subdiagnoses of hand eczema included in the studies. One study found smoking to be a particular risk factor for vesicular hand eczema . In the present study, no significant difference was found between hyperkeratotic hand eczema and other subgroups of hand eczema with respect to tobacco smoking.…”

Section: Discussioncontrasting

confidence: 76%

Hyperkeratotic hand eczema compared to other subgroups of hand eczema – a retrospective study with a follow‐up questionnaire

et al. 2018

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“…It is known that there are several types of occupational HD, which overlap and are difficult to distinguish. 38 Moreover, the mild symptoms of HD (mostly only slight erythema) observed in most HCWs at entry, implying that there was limited room for improvement, constitute another factor that might have diluted the effect of the intervention with regard to severity. As our study population was a working population, HECSI scores were markedly lower than in patients in secondary prevention studies.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Effectiveness of a skin care programme for the prevention of contact dermatitis in healthcare workers (the Healthy Hands Project): A single‐centre, cluster randomized controlled trial

et al. 2019

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Background Healthcare workers (HCWs) are at risk of developing hand dermatitis (HD). Guidelines recommend moisturizers to prevent HD, but in practice their effectiveness has been poorly investigated. Objectives To assess whether an intervention aimed at improving skin care leads to a reduction in HD severity. Methods In this 1‐year randomized controlled trial, 9 wards (285 HCWs) were allocated to an intervention group (IG), and 10 wards (216 HCWs) were allocated to the control group (CG). The intervention included provision of cream dispensers with electronic monitoring of use, regularly communicated to the HCWs. The primary and secondary outcomes were change from baseline in Hand Eczema Severity Index (HECSI) score (ΔHECSI) and change in natural moisturizing factor (NMF) level (ΔNMF). Results At 12 months, the rates of loss to follow‐up were 41% and 39% in the IG and the CG, respectively. The HECSI score was reduced in the IG by −6.2 points (95%CI: −7.7 to −4.7) and in the CG by −4.2 points (95%CI: −6.0 to −2.4). There was no significant difference in ΔHECSI or ΔNMF between the groups. Relative improvement in the HECSI score was significantly higher in the IG than in the CG (56% vs 44%). In a subgroup of HCWs with mild HD, the IG showed a larger HECSI score decrease than the CG ( P < 0.001). Conclusion Although there was no significant effect on the primary outcomes, the intervention showed overall positive effects on the HECSI score.

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Clinical patterns and associated factors in patients with hand eczema of primarily occupational origin

Cited by 25 publications

References 37 publications

Quality of life, treatment satisfaction, and adherence to treatment in patients with vesicular hand eczema: A cross‐sectional study

Quality of life, treatment satisfaction, and adherence to treatment in patients with vesicular hand eczema: A cross‐sectional study

Hyperkeratotic hand eczema compared to other subgroups of hand eczema – a retrospective study with a follow‐up questionnaire

Effectiveness of a skin care programme for the prevention of contact dermatitis in healthcare workers (the Healthy Hands Project): A single‐centre, cluster randomized controlled trial

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