Rehabilitation and Prevention of Hand Eczema

Wulfhorst, Britta; Strunk, M.; Skudlik, Christoph; Heichel, Theres; Sonsmann, Flora; Wilke, Annika; Wigger‐Alberti, W.; John, Swen Malte

doi:10.1007/978-3-030-36335-2_71

Cited by 4 publications

(3 citation statements)

References 166 publications

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“… Structured seminars to refresh or create knowledge on causes and prevention of occupational dermatitis have proven helpful to achieve sustained remission of occupational disease and thus avoid loss of job, retraining, workers’ compensation, and other individual or societal costs. An in-patient course of (supplemental or repeat, as indicated) diagnostics and treatment, combined with above seminars, has helped to reduce the individual as well as economic impact in more recalcitrant cases not amenable to first-line outpatient care [ 52 , 53 ]. …”

Section: Preventionmentioning

confidence: 99%

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Diagnostics and Prevention of Occupational Allergy in Hairdressers

Uter

Johansen

Macan

et al. 2023

Curr Allergy Asthma Rep

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Purpose of Review This study aims to provide an overview on current knowledge on occupational allergic diseases in hairdressers and up-to-date perspectives of prevention. Recent Findings Hand eczema (dermatitis) is common in hairdressers, often caused by contact allergy to one or multiple small molecules (haptens) used, e.g., for dyeing, bleaching, and waving/relaxing or by ancillary substances such as preservatives. Hairdressers, compared to other patch-tested patients, have an up to fivefold increased risk to be found sensitized, e.g., against p-phenylenediamine, ammonium persulfate, and glyceryl thioglycolate. Some of these small molecules may induce respiratory sensitization causing allergic rhinitis and/or asthma, notably persulfate salts. Summary Occupational hazards in hairdressing are well described. This knowledge needs to be put into use for risk reduction, mainly by substitution of allergenic ingredients by less allergenic ones, education, and use of ventilation and suitable single-use gloves.

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Section: Preventionmentioning

confidence: 99%

“…An in-patient course of (supplemental or repeat, as indicated) diagnostics and treatment, combined with above seminars, has helped to reduce the individual as well as economic impact in more recalcitrant cases not amenable to first-line outpatient care [ 52 , 53 ].…”

Section: Preventionmentioning

confidence: 99%

Diagnostics and Prevention of Occupational Allergy in Hairdressers

Uter

Johansen

Macan

et al. 2023

Curr Allergy Asthma Rep

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“…Wet work and/or repeated exposure to irritants (e.g., detergents, organic solvents, alkaline agents and acids) are major risk factors for development of irritant contact dermatitis (ICD) of the hands. To prevent skin irritation, the use of watertight protective gloves is recommended 1,2 . However, watertight protective gloves consist of (water‐)impermeable materials (rubber or plastic) which induce occlusion effects by trapping heat and inhibiting evaporation of moisture caused by sweating.…”

Section: Introductionmentioning

confidence: 99%

Effects of impermeable and semipermeable glove materials on resolution of inflammation and epidermal barrier impairment after experimental skin irritation

et al. 2023

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Background: Semipermeable membranes might be suitable for glove liners or comfort gloves in individuals with irritant contact dermatitis (ICD).Objectives: To evaluate the effects of different glove materials on inflammation and epidermal barrier impairment after experimental skin irritation.Methods: Nine test areas on the volar forearms of 24 healthy volunteers were irritated with sodium lauryl sulfate (1%) and afterward covered for 6 days (6 or 8 h/day) with semipermeable Sympatex (SYM), vinyl (OCC), combinations of vinyl with Sympatex (SYM/OCC) or cotton (COT/OCC), or left uncovered (CON). Up to day 10, measurements of transepidermal water loss (TEWL), erythema (a*), skin humidity (SH) and visual scoring (VS) were applied.Results: No significant differences in skin parameters were found between COT/OCC and SYM/OCC as well as between each of the combinations and CON. SYM, COT/OCC and SYM/OCC led to better results for most skin parameters than OCC alone.Conclusions: Occlusive material has a negative impact on skin barrier recovery and inflammation after skin irritation whereas SYM is not inferior to uncovered areas indicating good tolerability. Altogether, the data suggest that SYM is a useful alternative to COT as material for glove liners and comfort gloves in ICD patients.

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