Occupational Dermatosis

Holness, D. Linn

doi:10.1007/s11882-019-0870-6

Cited by 17 publications

(20 citation statements)

References 92 publications

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“…Patch testing both standardized PT preparations and materials from the patients' workplaces has a complementary diagnostic value and is important for diagnosing and evaluating OD. Most patients of our study group with suspected OD suffered from hand dermatitis and, in accordance with previous results, 2,15 were more frequently diagnosed with AD and ICD (alone or in combination) than with ACD (Figure 1). We included information about pre‐existing contact sensitization in our data analysis, which gives a more complete picture, particularly concerning sensitizations to predominantly non‐occupational allergens (such as nickel) 16 …”

Section: Discussionsupporting

confidence: 91%

Relevance of contact sensitizations in occupational dermatitis patients with special focus on patch testing of workplace materials

et al. 2020

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Background: Studies on patch testing with workplace materials and evaluation of current occupational relevance of positive patch test reactions are scarce in patients with occupational dermatitis (OD). Objectives: To identify frequent sensitizations with occupational relevance and to determine the value of patch testing with workplace materials in OD patients. Patients and Methods: Results and clinical data of 654 patients with suspected OD patch tested between 2013 and 2017 were analysed. Results: Occupational allergic contact dermatitis was diagnosed in 113 (17.3%) patients. Mechanics had the widest range of occupational sensitizations. Sensitization to epoxy resin was rated occupationally relevant in almost all handicraft trades. Among positive patch test reactions to workplace products, those to water-based metal working fluids and leave-on cosmetic products were most frequent. Despite frequent testing, protective gloves only rarely elicited positive reactions. Preservatives and rubber compounds were most frequently identified as currently occupationally relevant. Conclusions: Rubber allergy is occupationally relevant especially in healthcare workers and cleaners. Generally, preservatives including formaldehyde releasers are important allergens in OD patients. Leave-on cosmetic products must not be forgotten as allergen sources. Patch testing both workplace materials and standardized test

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Section: Discussionsupporting

confidence: 91%

Relevance of contact sensitizations in occupational dermatitis patients with special focus on patch testing of workplace materials

et al. 2020

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“…The average incidence rate of registered OCD ranges from 0.5 to 1.9 cases per 1 000 full-time workers per year [ 3 ]. There are a variety of sources of information about OCD and its causative agents [ 4 ]. Tables 2 and 3 list some of the common causes of OCD [ 5 •, 6 – 8 ].…”

Section: Occupational Contact Dermatitismentioning

confidence: 99%

Occupational Contact Dermatitis: An Individualized Approach to the Worker with Dermatitis

Houle¹,

Holness²,

DeKoven³

2021

Curr Derm Rep

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Purpose of Review To provide an up-to-date, customizable approach to the worker presenting with dermatitis. Recent Findings Occupational contact dermatitis (OCD) is often a result of combined allergic, irritant, and endogenous factors. Potential causes of OCD can be categorized in 3 main groupings: workplace materials, personal protective equipment, and skin care. Although patterns of dermatitis may provide some indication of the etiological factor(s), patch testing remains essential in the diagnosis of allergic OCD. Management of OCD may require changes in workplace practices to reduce worker exposure to the causative agents and improve skin care practices. Summary OCD is a multifaceted condition with significant consequences for affected workers and their families, employers, and insurers. A methodical and individualized approach to the patient with OCD should ensure timely and accurate diagnosis(es).

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“…Additionally, symptoms are often severe enough to require sick leave and can even lead to loss of job or change of employment [16]. Ultimately, this can produce significant individual and societal economic loss [17]. Given the high prevalence and burden of disease in occupational CD, it is important for physicians to maintain a high index of suspicion for occupational sources in patients presenting with CD and be aware of the numerous potential causes.…”

Section: Introductionmentioning

confidence: 99%

What Is New in Occupational Allergic Contact Dermatitis in the Year of the COVID Pandemic?

Lee

Lobl

Ford

et al. 2021

Curr Allergy Asthma Rep

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Purpose of Review This article aims to summarize some recent trends in occupational allergic contact dermatitis (ACD), including dermatitis related to pandemic-level personal protective equipment in healthcare workers, hazards patients may experience when working from home, and occupational perspectives on the recent American Contact Dermatitis Society (ACDS) allergens of the year and ACDS Core Allergen Series updates. Recent Findings Recent ACDS Allergens of the Year may be particularly relevant to healthcare workers, including isobornyl acrylate, which is present in glucose sensors and propylene glycol present in hand cleansers and disinfectants. Lavender, limonene, and linalool, all of which are new additions to the ACDS Core Allergen Series, have been reported as causes for occupational ACD in massage therapists and aromatherapists. Isothiazolinone allergy continues to rise in both consumer and occupational settings. Finally, the COVID-19 pandemic has resulted in a wave of occupational ACD in healthcare workers to personal protective equipment, and revealed new potential allergens for individuals working from home. Summary Occupational allergic contact dermatitis continues to exert a significant occupational disease burden. Remaining aware of the current trends in allergens may allow for earlier recognition, diagnosis, and treatment, subsequently helping our patients to work in healthier and safer environments.

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Occupational Dermatosis

Cited by 17 publications

References 92 publications

Relevance of contact sensitizations in occupational dermatitis patients with special focus on patch testing of workplace materials

Relevance of contact sensitizations in occupational dermatitis patients with special focus on patch testing of workplace materials

Occupational Contact Dermatitis: An Individualized Approach to the Worker with Dermatitis

What Is New in Occupational Allergic Contact Dermatitis in the Year of the COVID Pandemic?

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