Hand eczema

Agarwal, Uma Shankar; Besarwal, Raj Kumar; Gupta, Rahul; Agarwal, Puneet; Napalia, Sheetal

doi:10.4103/0019-5154.131372

Cited by 48 publications

(48 citation statements)

References 42 publications

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“…The removal of lipid induces structural and physiochemical alterations in the skin, which apparently facilitates the process of cutaneous irritation. 26 High frequency of atopic dermatitis among women may also contribute. 4 …”

Section: Discussionmentioning

confidence: 99%

Patch testing in hand eczema: a cross-sectional study from a teaching hospital of North India

Qayoom¹,

Rather²,

Khan³

2018

Int J Res Med Sci

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Background: Hand eczema is a common dermatological disorder in different occupational groups with multifactorial etiology. Patch Testing serves as an important tool for identifying responsible allergens.Methods: The study was conducted in the Department of Dermatology, SKIMS-MCH, Srinagar for duration of one year from June 2016 to June 2017. Patients of either gender with hand eczema, aged 18 years and above, presenting to outpatient department were enrolled in the study. After taking informed written consent from patients, a detailed history was taken, and clinical examination was performed on first visit. Patch testing with Indian Standard Series was performed a fortnight after complete resolution of signs and symptoms of eczema and after complete withdrawal of the drugs.Results: Out of 116 patients 60 (51.7%) were males and 56 (48.3%) were females. Male to female ratio was 1.07:1. Mean age of presentation of females was 35.42±12.52years and of males was 49.2±10.01years. The commonest allergen was Nickel sulphate (23.2%) followed by Potassium dichromate (15.1%). Nickel sulphate was most common allergen in females while Cobalt sulphate and Paraphenylene diamine were most common allergens in males. House wives (36.2%) and farmers (11.2%) were occupations with high frequency of hand eczema.Conclusions: Patch testing in clinically diagnosed cases of hand eczema can play a vital role in not just the confirmation of the label but can also reduce the socio-economic burden on such patients.

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Section: Discussionmentioning

confidence: 99%

Patch testing in hand eczema: a cross-sectional study from a teaching hospital of North India

Qayoom¹,

Rather²,

Khan³

2018

Int J Res Med Sci

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“…12,19 Although hand dermatitis is a multifactorial disease, often combining also atopic dermatitis, chronic irritant contact dermatitis, immediate symptoms, like contact urticaria and protein contact dermatitis, 33 the high frequency of ACD in this subgroup is certainly explained by the tasks done mainly by hand, like frequent washing and use of hand soaps/disinfectants and protective gloves. 19 Moreover, wet work and the irritant effect of some of these substances, also favours sensitization in hand dermatitis.…”

Section: Discussionmentioning

confidence: 99%

Dermatite de Contacto Alérgica em Profissionais de Saúde

Pinheiro

Pestana

Marques

et al. 2017

SPDV

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RESUMO -Introdução: A dermatite de contacto alérgica (DCA) constitui patologia profissional particularmente frequente em profissionais de saúde. Os alergénios responsáveis podem variar ao longe do tempo, com a exposição ocupacional e com o tipo de trabalho. Objectivos e Métodos: Com o objetivo de avaliar a realidade local, foi feita uma análise retrospetiva dos profissionais de saúde que realizaram testes epicutâneos no Serviço de Dermatologia do Centro Hospitalar e Universitário de Coimbra (CHUC), num período de 6 anos (2010)(2011)(2012)(2013)(2014)(2015), por suspeita de dermatite de contacto alérgica. Os doentes foram todos testados com uma Série Básica e com séries complementares orientadas pela história clínica. Resultados: Dos 1858 doentes testados, 125 (6,7%) eram profissionais de saúde, 114 de género feminino/11 masculino, idade média de 39,26±12,5 anos, maioritariamente enfermeiras (56), assistentes técnicos (48) e médicos (21), 71 com dermatite das mãos (56.8%), 22 com dermatite atópica e/ou outros sinais de atopia (17,6%). Noventa (72%) revelaram pelo menos um patch test (PT) positivo, 47 dos quais (52,2%) com relevância profissional. Doentes com dermatite das mãos tiveram mais frequentemente PT positivo (76,1%). Os metais causaram maior número de PT positivos (total 51; Ni-41, maioritariamente com relevância passada, Co-8; Cr-2), seguidos das fragrâncias (total 30; mistura de fragrâncias (FM)-I-10; Myroxylon pereirae-8; lyral-5; FM-II-4; citronellol-3), conservantes (total 29, dos quais 20 à metilisotiazolinona (MI) e/ou clorometilisotiazolinona/MI (MCI/MI)), borrachas (24; P-fenilenodiamina (PPD)/Isopropil-PPD-9) e medicamentos tópicos (total 14; iodopovidona 5). As principais causas da DCA profissional foram os desinfetantes/sabonetes líquidos e produtos de higiene dos doentes (15), borracha das luvas/calçado (12) e medicamentos sistémicos ou tópicos (8 antissépticos e 3 antibióticos parentéricos). Os principais alergénios com relevância profissional foram a MI e/ou MCI/MI (15), lanolina (9), formaldeído e/ou libertadores (7), iodopovidona (5), carbamatos (4), FM-I (3), cefalosporinas (3) e acrilatos (3 dentistas e/ou assistentes dentários). Em 37 dos 42 casos avaliados, houve uma melhoria franca ou resolução da DCA, após evicção do alergénio causal, nomeadamente o conservante MCI/ MI contido num sabonete líquido sob a designação de "Acticide ® MV". Conclusões: A dermatite das mãos, a principal apresentação da DCA em profissionais de saúde, não mostrou relação com atopia e foi mais frequentemente associada a PT positivos. PT positivos a isotiazolinonas e libertadores de formaldeído foram mais frequentes entre profissionais de saúde do que na população geral estudada, muito provavelmente devido à exposição cumulativa, pessoal e profissional, a estes conservantes em sabonetes líquidos de uso pessoal e hospitalar. O PT foi crucial para orientar individualmente os doentes e para alertar a comunidade hospitalar para a presença de alergénios no local de trabalho e estabelecer medidas preventivas mais ade...

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“…In case 1, the medical history revealed a preexisting hand eczema, which is a common inflammatory skin disorder, affecting approximately 10% of the adult population [6]. It is probably the most common occupational skin disease.…”

Section: Discussionmentioning

confidence: 99%

“…It is probably the most common occupational skin disease. In addition, 20-35% of all types of dermatitis affect the hands [6]. Hand eczema has often a chronic course, with many implications for the patients' daily life, occupation and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Periungual Pyogenic Granuloma: The Importance of the Medical History

Alessandrini

Bruni

Starace

et al. 2015

Skin Appendage Disord

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Pyogenic granuloma (PG) is a common, benign vascular proliferation that can arise on the skin or subcutaneous tissue. It is more frequent in the early decades of life, and the most common locations are the digits of both hands and feet. The most common cause of periungual PG is drug intake, but many other trigger factors have been described in the literature. Treatment should be chosen according to the cause. We describe 2 particular cases of periungual PG in which the clinical history has been fundamental. In the first case, there was an underlying hand eczema, and in the second case, a foreign body was present.

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Hand eczema

Cited by 48 publications

References 42 publications

Patch testing in hand eczema: a cross-sectional study from a teaching hospital of North India

Patch testing in hand eczema: a cross-sectional study from a teaching hospital of North India

Dermatite de Contacto Alérgica em Profissionais de Saúde

Periungual Pyogenic Granuloma: The Importance of the Medical History

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