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Fiberglass Dermatitis


Presentation

  • She presented with erythematous maculopapules on the face and excoriated papules and lichenified plaques on the trunk and forearms, which had been present for two years.[ncbi.nlm.nih.gov]
  • Improve your interpretation of presenting symptoms with 38 new topics and 40 new images in the Differential Diagnosis section, and optimize patient care with more than 250 new figures and tables.[books.google.de]
  • Thimerosal, a former component merthiolate and currently present in some drugs and vaccines.[tabletsmanual.com]
  • Early chapters cover common presentations of irritant dermatitis, and later chapters describe occupation-related dermatoses.[nejm.org]
  • Many vesicles are present on the fingers. Slide 33 – Marginal irritants Marginal irritants require repeated contact to produce irritation.[cdc.gov]
Congestive Heart Failure
  • Stasis dermatitis is caused by poor circulation in the legs and can happen in people with varicose veins, congestive heart failure, or other conditions that cause chronic leg swelling.[webmd.com]
Cheilitis
  • . * allergic cheilitis * oral lichen planus caused by metals, acrylics[books.google.com]
Tinnitus
  • الصفحة 24 - Drake (1974) described a woman who developed tinnitus each time she treated her paronychia with gentamycin sulfate cream 0.1%. Use of gentamycin ear drops may also be associated with ototoxic reactions (Mittelman, 1972). Neomycin.[books.google.com]
Blister
  • The skin will become itchy, red, swollen, and often develop tiny water blisters, called "vesicles," or even large blisters. If the irritant is weak, the initial skin reaction will be mild.[drbunas.com]
  • More serious dermatitis may result in crusty scales, painful cracks, or blisters that ooze fluid.[webmd.com]
  • Usually dermatitis refers to chemical injury that produces redness, burning or itching, and possibly blistering of the skin. Common dermatitis causes are poison ivy, fiberglass, detergents, and acids.[rejuvadoc.com]
  • Pompholyx eczema (dyshidrotic eczema ) — in which there are itchy clusters of blisters along the sides of the fingers and on the palms, often triggered by sweating.[dermnetnz.org]
  • Some rashes can also lead to blisters or patches of raw skin. Rashes are a symptom of many different medical problems. Other causes include irritating substances and allergies. Certain genes can make people more likely to get rashes.[icdlist.com]
Eczema
  • الصفحة 62 - Venereol (Stockh) 1985;65:102-105. 34 van der Valk PGM, Nater JP, Bleumink E: Vulnerability of the skin to surfactants in different groups of eczema patients and controls as measured by water vapour loss.[books.google.com]
  • In some cases, contact urticaria can be demonstrated only on damaged or previously eczematous skin, and it can be part of the mechanism responsible for maintenance of chronic eczemas ‎ Page 416 - Loveless SE, Ladies GS, Gerberick GF, et al. (1996) Further[books.google.com]
  • Other types of eczema include: atopic eczema (also called atopic dermatitis) – the most common type of eczema; it often runs in families and is linked to other conditions, such as asthma and hay fever discoid eczema – circular or oval patches of eczema[nhs.uk]
  • The hands are areas most commonly affected by irritative eczema, mainly on the back and between the fingers.[tabletsmanual.com]
  • Pompholyx eczema (dyshidrotic eczema ) — in which there are itchy clusters of blisters along the sides of the fingers and on the palms, often triggered by sweating.[dermnetnz.org]
Eruptions
  • The first patient suffered from a severe pruritic eruption two hours after repairing a roof with wave-form ceiling boards. Erythematous maculopapules were present on both hands and finger webs.[ncbi.nlm.nih.gov]
  • L27.0 Generalized skin eruption due to drugs and me... L27.1 Localized skin eruption due to drugs and medi... L27.2 Dermatitis due to ingested food L27.8 Dermatitis due to other substances taken inte...[icd10data.com]
  • This pruritic, papular eruption occurs among prickly pear pickers and those who unwarily stumble into burglar-proof hedges of this native Mexican plant.[telemedicine.org]
  • This eruption resulted from sensitization to bacitracin. www.worldallergy.org 58.[slideshare.net]
  • SCD is characterized by eruptions in the skin following systemic exposure to allergens. In addition to the usual symptoms of contact dermatitis, hives (urticaria) can also develop secondarily as the result of a systemic allergenic response.[dermaharmony.com]
Urticaria
  • Propensity to non-immunologic contact urticaria and objective irritation in stingers.[books.google.com]
  • Clinically, it may resemble scabies, eczematous dermatitis, folliculitis, petechiae and urticaria. A high index of suspicion is essential for a correct diagnosis.[ncbi.nlm.nih.gov]
  • Cell Carcinoma and Superficial Basal Cell Carcinoma Eczema Irritant Contact Dermatitis "Moles" and Melanoma Molluscum Contagiosum Psoriasis Rosacea Sebaceous Hyperplasia Seborrheic Keratoses Telangiectasia or "Broken Blood Vessels" Tinea Versicolor Urticaria[skinmds.com]
  • Bacitracin • Topical antibiotic with activity against Gram-positive bacteria and spirochetes • Commonly used in combination with other antibiotics such as neomycin and with corticosteroids • In addition to ACD, also rarely causes anaphylaxis and contact urticaria[slideshare.net]
  • In addition to the usual symptoms of contact dermatitis, hives (urticaria) can also develop secondarily as the result of a systemic allergenic response.[dermaharmony.com]
Excoriation
  • In six workers, unroofed vesicles, pinhead areas of postinflammatory hyperpigmentation, and excoriation marks were noted at these sites. Skin stripping of the affected sites confirmed the presence of fiberglass spicules in all cases.[ncbi.nlm.nih.gov]
  • Erythematous macules, papules and folliculitis with excoriation developed over his arms, neck, face and upper chest.[ncbi.nlm.nih.gov]
  • She presented with erythematous maculopapules on the face and excoriated papules and lichenified plaques on the trunk and forearms, which had been present for two years.[ncbi.nlm.nih.gov]
  • Fabric/man-made vitreous fibers Fibers larger than 3.5 um in diameter cause the highly pruritic contact dermatitis caused by fiberglass Erythematous papules with superimposed excoriations on neck and dorsal hands Wool and rough clothing cause dermatitis[slideshare.net]
Suggestibility
  • To prevent this occupational disease, we suggest proper procedures of production, storage, transportation and cleaning in the industrial setting and proper protective clothing in personnel to minimize the release of and exposure to glass fibers.[ncbi.nlm.nih.gov]
  • Access full-color images and more than 90 online-only topics at Expert Consult, as well as EBMs, Suggested Reading, Patient Teaching Guides, and additional algorithms.[books.google.de]
  • When the temp climes my plumber is always suggesting we all take off the shirts . I tell him sure as soon as he waxes that hairy back .[johnbridge.com]
  • They can try to identify the cause and suggest appropriate treatments.[nhs.uk]
  • In some cases the location of the rash may suggest the cause. For instance, a rash around the wrist is easily identified as caused by a watchband. One across the forehead may be the result of a hat band.[drbunas.com]
Irritability
  • Workers in frequent contact with these PRCBs can have a fiberglass-induced irritant dermatitis.[ncbi.nlm.nih.gov]
  • Contact Dermatitis 17:276-280 Lammintausta K, Maibach HI, Wilson D (1988) Mechanisms of subjective (sensory) irritation. Propensity to non-immunologic contact urticaria and objective irritation in stingers.[books.google.com]
  • Fiberglass dermatitis is one of the most common forms of occupational dermatitis resulting from mechanical irritation. Here we report a typical case.[ncbi.nlm.nih.gov]
  • The authors also describe the methods of measuring skin irritation, the challenges of testing for irritation, and the prevention of irritant dermatitis through barrier creams and gloves.[nejm.org]
Burning Sensation
  • With irritation caused by airborne fiberglass, the patient will report stinging or burning sensations on uncovered parts of the body such as the face or neck, but on examination he or she will have no visible dermatitis.[nejm.org]
  • If the substance that was applied to the skin was changed to an irritant by light exposure, the primary symptom is a burning sensation resembling sunburn. If the substance was changed to an allergen, the primary sensation is itching.[encyclopedia.com]
Meningism
  • Ferri’s popular "5 books in 1" format provides quick guidance on short QT syndrome, microscopic polyangiitis, fungal meningitis, and much more. This medical reference makes the answers you need even easier to find - anytime, anywhere.[books.google.de]
Vaginal Discharge
  • Three female patients also had vaginal discharge and bleeding. After discontinuation of the drug, all symptoms progressively disappeared in every patient. ‏ الصفحة 32 - Skin absorption of phenol from aqueous solutions in men. ‏[books.google.com]

Treatment

  • Just as Ototoxicity is a well-known hazard of parenteral neomycin administration, so has deafness been reported after almost any form of local treatment, including treatment of skin infections and burns... ‏[books.google.com]
  • The treatment is to avoid the causative substance and allow the skin to heal using gentle cleansers, moisturizers and possibly cortisone creams.[rejuvadoc.com]
  • They can try to identify the cause and suggest appropriate treatments.[nhs.uk]
  • Treatments may include moisturizers, lotions, baths, cortisone creams that relieve swelling, and antihistamines, which relieve itching.[icdlist.com]
  • Topical zinc pyrithione is generally recognized as a safe and effective treatment for reduction in the symptoms associated with dermatitis.[dermaharmony.com]

Prognosis

  • Page 15 - Hogan DJ, Dannaker CJ, Maibach HI (1990) The prognosis of contact dermatitis.[books.google.com]
  • Prognosis 9.1. Good if there are no secondary complications and the person can avoid the irritant[mindmeister.com]
  • Camarasa JG ; Romaguera C ; Serra-Baldrich E ; Vilaplana J Contact Dermatitis. 1993 Prognosis of occupational contact dermatitis in New South Wales, Australia.[research.johas.go.jp]
  • Prognosis If the offending substance is promptly identified and avoided, the chances of a rapid and complete recovery are excellent. Otherwise, symptom management — not cure — is the best doctors can offer.[encyclopedia.com]

Etiology

  • […] proximal) phalanges of one or more fingers Frequent attacks affecting all phalanges of most fingers ‎ Page 97 - Imokawa G, Abe A, Jin K, Higaki Y, Kawashima M, Hidano A (1991) Decreased levels of ceramides in stratum corneum of atopic dermatitis: an etiologic[books.google.com]
  • Etiology 7.1. Common cutaneous irritants 7.1.1. Solvents 7.1.1.1. Organic Solvents- Alcohol, turpentine, hair products, ketones, chlorine, esters, paint, acids Diluted Alkalis- Soap and soda Detergents- washing detergents 7.1.2. Microtrauma 7.1.2.1.[mindmeister.com]

Epidemiology

  • Epidemiology 1.1. Occupational Hazard 1.1.1. repeated handwashing 1.1.2. repeated exposure of skin to irritants 1.2. Prevalence 1.2.1. 55.6% in 2 intensive care units 1.2.2. 69.7% in the most highly exposed workers 1.3. Environmental factors 1.3.1.[mindmeister.com]
  • Epidemiology of ACD Affects the old and young, individuals of all races, and both sexes Differences in genders usually based on exposure patterns, such as nickel allergy being seen more frequently in women, presumably due to greater exposure to jewelry[slideshare.net]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology 2.1. Skin Barrier Disruption 2.1.1. patients with altered barrier function are more prone to developing ICD 2.2. Epidural Cellular Changes 2.3. Cytokin Release hones naïve T-lymphocytes to the skin 2.3.1.[mindmeister.com]
  • […] with or without visible skin changes Chronic effects Repeated exposures required Skin dryness Hyperkeratosis Skin itching (less than in ACD) Skin wrinkling Development of allergic contact dermatitis ICD is a spectrum of disease processes with a complex pathophysiology[accessmedicine.mhmedical.com]
  • "A Review of the Pathophysiology, Prevention, and Treatment of Irritant Diaper Dermatitis." Current Medical Research and Opinion 20 (May 2004): 645 – 49. Duarte, I., et al. "Contact Dermatitis in Adolescents."[encyclopedia.com]

Prevention

  • Preventive measures could include the use of PRCBs with less free fiberglass at its edges, vacuuming of the newly cut boards, use of dusting powder, protective devices and emollients, and improved personal hygiene of the workers.[ncbi.nlm.nih.gov]
  • To prevent this occupational disease, we suggest proper procedures of production, storage, transportation and cleaning in the industrial setting and proper protective clothing in personnel to minimize the release of and exposure to glass fibers.[ncbi.nlm.nih.gov]
  • This is a solid basis for preventive 1985,one of the major goals was to edit a textbook of measures.[books.google.de]
  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.de]
  • It is difficult, but not impossible to prevent recurrences. Resume epoxy use only after symptoms disappear, and strictly follow the recommended handling procedures to prevent exposure.[westsystem.com]

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