Hairdressers presenting to an occupational dermatology clinic in Melbourne, Australia

Lyons, Georgina; Roberts, Hugh; Palmer, Amanda; Matheson, Melanie C.; Nixon, Rosemary

doi:10.1111/cod.12016

Cited by 64 publications

(85 citation statements)

References 42 publications

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“…We found, in agreement with another study [36], that hairdressers presented contact dermatitis, which was confirmed by dermatologists who performed patch tests. These tests revealed allergies to preservatives such as formaldehyde, fragrances, rubber chemicals, methyl-di-bromo-glutaronitrile in shampoos and to leave-on products.…”

Section: Discussionsupporting

confidence: 93%

Occupational Dermatoses by Type of Work in Greece

Zorba

Karpouzis

Zorbas³

et al. 2013

Safety and Health at Work

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BackgroundTo elucidate the relationship between seven occupational dermatoses (ODs) and 20 types of work in Greece.MethodsThis was a prevalence epidemiologic study of certain ODs among 4,000 workers employed in 20 types of enterprise, in 104 companies, in 2006–2012, using data from company medical records, questionnaires, occupational medical, and special examinations. The χ2 test was applied to reveal statistically significant relationships between types of enterprises and occurrence of ODs.ResultsA high percentage (39.9%) of employees included in the study population suffered from ODs. The highest prevalence rates were noted among hairdressers (of contact dermatitis: 30%), cooks (of contact dermatitis: 29.5%), bitumen workers (of acne: 23.5%), car industry workers (of mechanical injury: 15%), construction workers (of contact urticaria: 29.5%), industrial cleaning workers (of chemical burns: 13%), and farmers (of malignant tumors: 5.5%). We observed several statistical significant correlations between ODs (acute and chronic contact dermatitis, urticaria, mechanical injury, acne, burns, skin cancer) and certain types of enterprises. There was no statistically significant correlation between gender and prevalence of ODs, except for dermatoses caused by mechanical injuries afflicting mainly men [χ2 (1) = 13.40, p < 0.001] and for chronic contact dermatitis [χ2 (1) = 5.53, p = 0.019] afflicting mainly women.ConclusionPrevalence of ODs is high in Greece, contrary to all official reports by the Greek National Institute of Health. There is a need to introduce a nationwide voluntary surveillance system for reporting ODs and to enhance skin protection measures at work.

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Section: Discussionsupporting

confidence: 93%

Occupational Dermatoses by Type of Work in Greece

Zorba

Karpouzis

Zorbas³

et al. 2013

Safety and Health at Work

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“…Apprentices from Zagreb worked more with hair dyes than apprentices from Dalmatia, being consequently at higher risk for development of contact sensitization to components of hair dyes, mostly p ‐phenylenediamine (PPD), which is known as a potent occupational contact allergen in the hairdressing sector . This study did not address this issue, but it would be of interest to see in future studies how this difference in exposure is related to the occurrence of early sensitization to PPD in apprentices . Washing hands >20 times per day, which is considered to be a risk factor for skin irritation, was reported by more apprentices from Zagreb (28%, in comparison with 10% of apprentices from Dalmatia).…”

Section: Discussionmentioning

confidence: 99%

Factors related to skin health in hairdressing apprentices from two Croatian regions

et al. 2019

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Background Hairdressing apprentices are at high risk for developing occupational contact dermatitis. Objectives The objective of this study was to analyse whether there are differences in skin health, skin protection and health‐related quality of life between apprentices from two Croatian regions (Zagreb and Dalmatia). Materials and methods Final‐year hairdressing apprentices from Zagreb (n = 101) and Dalmatia (n = 77) were enrolled in the study. Clinical examination of hands was performed by use of the Osnabrück Hand Eczema Severity Index. Transepidermal water loss (TEWL) was measured on forearm and hand. A history of self‐reported skin symptoms, work‐related exposure to skin hazards and health‐related quality of life were assessed with validated questionnaires. Results Apprentices from Zagreb reported having been engaged in practical work more days per month than Dalmatian apprentices (median 12 days vs 8 days, respectively, P < 0.001), and washing their hands >20 times per day more frequently (28% vs 10%, respectively, P = 0.004), and consequently more frequently having dry hands (37% vs 16%, respectively, P = 0.002), and significantly higher TEWL values on the hand and forearm, which was confirmed by the results obtained with multiple linear regression models. Conclusions A higher extent of exposure to skin hazards was related to poorer skin barrier function, which confirms the need for improvement of appropriate safety practices in hairdressing schools.

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“…This prevalence is slightly higher than in the study conducted by Hillen et al [4], which found 3.2% of subjects to have contact scalp dermatitis caused by APS. APS is also a frequent occupational allergen in hairdressers [27,28,29,30]. …”

Section: Discussionmentioning

confidence: 99%

Common Allergens Identified Based on Patch Test Results in Patients with Suspected Contact Dermatitis of the Scalp

Aleid

Fertig

Maddy

et al. 2016

Skin Appendage Disord

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Background: Contact dermatitis of the scalp is common and might be caused by many chemicals including metals, ingredients of shampoos and conditioners, dyes, or other hair treatments. Eliciting a careful history and patch tests are necessary to identify the responsible allergen and prevent relapses. Objectives: To identify allergens that may cause contact dermatitis of the scalp by reviewing patch test results. Methods: We reviewed the records of 1,015 patients referred for patch testing at the Dermatology Department of the University of Miami. A total of 226 patients (205 females and 21 males) with suspected scalp contact dermatitis were identified, and the patch test results and clinical data for those patients were analyzed. Most patients were referred for patch testing from a specialized hair clinic at our institution. Results: The most common allergens in our study population were nickel (23.8%), cobalt (21.0%), balsam of Peru (18.2%), fragrance mix (14.4%), carba mix (11.6%), and propylene glycol (PG) (8.8%). The majority of patients were females aged 40-59 years, and scalp itching or burning were reported as the most common symptom. Conclusion: Frequent sources of allergens for metals include hair clasps, pins, and brushes, while frequent sources of allergens for preservatives, fragrance mix, and balsam of Peru include shampoos, conditioners, and hair gels. Frequent sources of allergens for PG include topical medications.

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Hairdressers presenting to an occupational dermatology clinic in Melbourne, Australia

Abstract: Multiple sensitizations and multiple factors contributing to OCD in hairdressers are common. More needs to be done to prevent the development of OCD in hairdressers in our geographical region.

Cited by 64 publications

References 42 publications

Occupational Dermatoses by Type of Work in Greece

Occupational Dermatoses by Type of Work in Greece

Factors related to skin health in hairdressing apprentices from two Croatian regions

Common Allergens Identified Based on Patch Test Results in Patients with Suspected Contact Dermatitis of the Scalp

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