Diagnosing chronic hand eczema by an algorithm: a tool for classification in clinical practice

Molin, Sonja; Diepgen, Thomas L.; Ruzicka, Thomas; Prinz, J. C.

doi:10.1111/j.1365-2230.2010.04001.x

Cited by 58 publications

(69 citation statements)

References 27 publications

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“…13,14 Scoring systems based on the severity of symptoms have been developed but are not routinely used in practice. 15 Cases are classified according to cause when possible, with the acknowledgment that different causes of hand eczema may be indistinguishable on examination.…”

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confidence: 99%

Hand Eczema

2012

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Hand Eczema

2012

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“…Molin et al [14] found that patients with chronic irritant dermatitis more often had a hyperkeratotic rhagadiform and rarely a vesicular morphology; in allergic contact dermatitis, a mixed pattern of vesicular and hyperkeratotic lesions predominated. Similar results were reported from Johansen et al [12], who showed that irritant contact dermatitis was the most frequent etiology in the dry fissured variety and allergic contact dermatitis in the vesicular types.…”

Section: Clinical Featuresmentioning

confidence: 98%

“…It is generally considered that clinical morphology is poorly related to etiology [4,[12][13][14]. Molin et al [14] found that patients with chronic irritant dermatitis more often had a hyperkeratotic rhagadiform and rarely a vesicular morphology; in allergic contact dermatitis, a mixed pattern of vesicular and hyperkeratotic lesions predominated.…”

Section: Clinical Featuresmentioning

confidence: 99%

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Hand Dermatitis: A Review of Clinical Features, Prevention and Treatment

2015

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Hand dermatitis is a socially significant health problem. This review provides a discussion on the clinical features and patterns as well as the differential diagnosis of hand dermatitis, because these are essential for proper diagnosis in clinical practice. The morphology, however, is poorly related to the etiology in chronic cases. In all cases of chronic hand dermatitis, a full diagnostic examination should be undertaken and the etiology should be clarified and addressed in the treatment concept, instead of just moving directly from a morphological diagnosis to therapy. Preventive measures should be included in the treatment concept according to etiology. A stepwise approach for escalating therapy is advised, including basic topical therapy, topical corticosteroids, calcineurin inhibitors, as well as phototherapy and systemic therapy with corticosteroids, alitretinoin, cyclosporine, methotrexate, azathioprine, and others.

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“…Molin et al have proposed a short and new graphical algorithm that is useful as a clear decision tool for diagnosing chronic hand eczema in clinical practice. The algorithm distinguished chronic hand eczema due to contact allergy, irritant damage, or a combination of the two, each either with or without atopy [23].…”

Section: Diagnosismentioning

confidence: 99%

Recent Trends in Occupational Contact Dermatitis

Wiszniewska

Walusiak‐Skorupa

2015

Curr Allergy Asthma Rep

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Occupational contact dermatitis (OCD) remains prevalent among workers and impacts quality of life and workability. The purpose of this review is to summarize the recent advances in occupational contact dermatitis as well as potential hazardous agents in the workplaces causing OCD. The review covers new developments in the epidemiology, etiology, diagnosis, and management of occupational contact dermatitis. This article also provides updated information on the prevalence of work-related skin symptoms and on new contact allergens among working population. It is emphasized that in the context of prevention of OCD, special attention should be focused on the identified high-risk occupational groups, especially healthcare workers and hairdressers starting with the apprentices. Current approaches include working out the standards and guidelines to improve the education, knowledge, diagnosis, and management of OCD based on a multidisciplinary team of medical specialists and an employer.

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Diagnosing chronic hand eczema by an algorithm: a tool for classification in clinical practice

Abstract: By providing a more precise clinical definition this diagnostic algorithm could improve the classification and taxonomy of hand eczema subtypes, facilitating more rational treatment decisions and allowing better treatment outcome analysis.

Cited by 58 publications

References 27 publications

Hand Eczema

Hand Eczema

Hand Dermatitis: A Review of Clinical Features, Prevention and Treatment

Recent Trends in Occupational Contact Dermatitis

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