Symptoma

Occupational Dermatitis

In this work, 37,5% of the patients presented atopic antecedents. [scielo.br]

We present 6 cases of PPOD exemplifying these scenarios, which met the altered Mathias criteria. [scholars.latrobe.edu.au]

The present article reviews the types, etiology, and clinical presentation of occupational contact dermatitis and provides the reader with a rational approach to this often vexing problem. [ncbi.nlm.nih.gov]

Presentation Type: Poster Presentation Topic: Allergology Citation: Meziane Z and Taleb A (2014). [frontiersin.org]

Presentation The presentation and pattern of skin change may give some indication of the likely irritant. Hands are the most frequently affected with direct contact. Chemicals on clothing may produce changes in axillae, groins and feet. [patient.info]

  • Sweating

    Sometimes gloves can be overworn, which leads to sweating and can cause irritation. [skincancer.asn.au]

    Similarly, you should avoid any activities which could result in heavy sweating. Are there medications I should avoid while being patch tested? Yes. [ohsu.edu]

    Sweat is itself an irritant and sweating under gloves can be a problem. Regularly changing gloves and cotton under gloves can help. [hsa.ie]

    Patients are instructed to keep their back dry for the whole week and to avoid exercise and sweating. At day 2, the location of the panels is marked on the patients' back and the strips are removed. [ncbi.nlm.nih.gov]

    One patient had ICD on his arms, face, neck and legs due to heat and sweating. MWF was the main cause in 15 cases of ICD. Other main causes of ICD were soldering fluid and dirty work. [academic.oup.com]

  • Chronic Dermatitis

    Occupational dermatitis may tend to improve during weekends or holidays although this is not always the case with a chronic dermatitis. [dermatologyadvisor.com]

    Case 3 A 36-year-old male metal-processing worker, who works with rubber and leather gloves, developed chronic dermatitis on his arms, and his dermatitis was not improved by steroid ointment. [omicsonline.org]

    Chronic dermatitis will require the use of corticosteroid ointments, coupled with the frequent application of emollients, the greasier the better. [iloencyclopaedia.org]

  • Lichenification

    In the chronic stage, vesiculation and oozing are replaced by increased desquamation, thickening of the epidermis, which becomes greyish and furrowed (lichenification) and painful, deep fissures over areas of movement or trauma. [iloencyclopaedia.org]

    In long-standing, chronic cases, the skin appears dry and rough, fissured, grayish, and thickened with increased skin lines, a process called lichenification. In rare cases, the morphology of the eruption may be different. [ncbi.nlm.nih.gov]

  • Hyperkeratosis

    A more subacute or chronic occupational ICD is characterized by hyperkeratosis, fissuring, glazed, or scalded appearance. [dermatologyadvisor.com]

  • Withdrawn

    Strict avoidance of noxious irritants and allergens is of paramount importance, and patients must be withdrawn from work until all offenders are clearly identified. [ncbi.nlm.nih.gov]

Patch testing is the gold standard for the workup of allergic contact dermatitis. [ncbi.nlm.nih.gov]

Treatment involving emollients and corticosteroid medicines for symptoms such as redness, inflammation, dryness, itching or a burning sensation may be required. [idu.org.uk]

Medical Treatment There are a number of ways contact dermatitis can be treated. Removing the cause is desirable and helps to make medical treatment effective. [isonharrison.co.uk]

Multidisciplinary teams have been successful in the treatment of OCD, and newly described topical treatments may provide additional modalities for use in the occupational setting. [ncbi.nlm.nih.gov]

Treatment Options Table 1. Treatment options for OCD. Table 1. [dermatologyadvisor.com]

Second-line agents (eg, psoralen combined with ultraviolet A (PUVA) treatment, ciclosporin and azathioprine) may be initiated in a specialist setting for the treatment of chronic, steroid-resistant dermatitis. [patient.info]

[…] for those with irritant versus allergic contact dermatitis; prognosis for different allergens to top of page Last Update: 28-Jul-2013 [bohrf.org.uk]

Early diagnosis, appropriate management and timely referral can improve prognosis. Irritant contact dermatitis is more common than allergic contact dermatitis. Both types may coexist and it may be impossible to differentiate them clinically. [medicinetoday.com.au]

The prognosis was the same for those who changed their work or slopped working as it was for those who continued their eczema‐inducing work. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. [onlinelibrary.wiley.com]

Prognosis [ 1 ] Usually, the condition will go with avoidance of the allergen but this may require giving up the job. A notable exception is cement dermatitis that is due to the chromium content. [patient.info]

Other published reviews and guidelines cover broader aspects of occupational dermatitis including epidemiology, primary prevention, prognosis 9 and clinical treatment. 10 The main focus of our literature review was the management of employees who present [oem.bmj.com]

Etiology Broadly speaking, OCD is an inflammatory condition of the skin resulting from cutaneous contact with materials found in the workplace. [dermatologyadvisor.com]

References Belsito DV: Occupational contact dermatitis: etiology, prevalence, and resultant impairment/disability. J Am Acad Dermatol 2005;53:303-313. [karger.com]

Occupational contact dermatitis: etiology, prevalence, and resultant impairment/disability. J Am Acad Dermatol. 2005;53:303-13. [ Links ] 5. Cahill J, Keegel T, Nixon R. The prognosis of occupational contact dermatitis in 2004. [scielo.br]

The present article reviews the types, etiology, and clinical presentation of occupational contact dermatitis and provides the reader with a rational approach to this often vexing problem. [ncbi.nlm.nih.gov]

Bronchial provocation tests in etiologic diagnosis and analysis of asthma, Am Rev Respir Dis, 1975, vol. 112 (pg. 829 - 859 ) 19. Occupational rhinitis, Ann Allergy Asthma Immunol, 2003, vol. 90 (pg. 2 - 6 ) 20. [academic.oup.com]

There are differences in the epidemiology and clinical presentations of contact and occupational dermatitis in the Asia-Pacific countries and the tropics compared to the Western countries. [nsc.com.sg]

Cancer Epidemiology. 2009; 33(3-4): 276-280 [ijdvl.com]

There is, however, little epidemiological data available in France relating to OCD. [karger.com]

Machinists' dermatitis has also been observed in epidemiological studies based on the national morbidity statistics and the statistics from dermatology clinics [ 3–5 ]. [academic.oup.com]

Epidemiology of occupational skin disease in Singapore 1989-1998. Contact Dermatitis 2000;43:133-6. 14. Kanerva L, Jolanki R, Estlander T, Alanko K, Savela A. Incidence rates of occupational allergic contact dermatitis caused by metals. [e-ijd.org]

Pathophysiology Pathophysiology of occupational ACD is a classic delayed-type hypersensitivity or a type IV immunologic reaction. It is immune-mediated rather than antibody mediated. [dermatologyadvisor.com]

Back to Top How is exposure prevented and controlled? Both contact irritant and allergic dermatitis can be prevented by prevention or at least minimisation of skin contact with that substance. [hsa.ie]

Prevention measures: Level 3. [healthy-workplaces.eu]

Prevention for Healthcare workers Employers have a responsibility to prevent Occupational Contact Dermatitis (OCD) in their workplace. [skincancer.asn.au]

Education on Prevention measures & avoidance Primary prevention is aimed at providing appropriate information and protection. [allergyclinic.co.nz]

Prevention and early intervention are key to promoting occupational health and preventing OCD. [ncbi.nlm.nih.gov]