Presentation
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]
Entire Body System
- Pain
Certain substances are more likely to aggravate your skin than others, so exposure to them can be painful. [awhsolicitors.co.uk]
Friction callosity is the skin’s reaction to friction and pressure from manual labour Patients present with thickened growths of skin on palms and soles, and over bony areas The calluses can be painful Infectious skin disease Several studies have found [dermnetnz.org]
There can be a range of different symptoms depending on the substances you’ve been exposed to, but redness, itchiness, dryness, painful sores, blisters and skin infections are common. [irwinmitchell.com]
The symptoms can include dry, chapped, blistered and painful skin, across areas that have come into direct contact with irritant substances. [attwatersjamesonhill.co.uk]
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]
- Weakness
[…] substance that directly damages the outer layer of skin an allergen – a substance that causes your immune system to respond in a way that affects the skin Irritant contact dermatitis Irritant contact dermatitis may be caused by frequent exposure to a weak [nhs.uk]
If your case is weak with a very small chance of winning, most solicitors will advise you not to pursue a claim. [accidentclaimsadvice.org.uk]
Contact Dermatitis Pathogenesis Direct cytotoxic effect T cell-mediated immune reaction Affected individuals Everyone A minority of individuals Onset Immediate (chemical burns) 12-48 h in previously sensitized individuals After repeated exposure to weak [ncbi.nlm.nih.gov]
[…] doubtful reaction, mild macular erythema + weak reaction, mild papular erythema ++ strong reaction, erythema, oedema, vesicles +++ extreme reaction, bullous or ulcerative; IR irritant reaction, glazed erythema or erosion resemblinga burn. [iloencyclopaedia.org]
[…] are well controlled with moisturizers, steroids may only be required when flares occur. [4] Corticosteroids are effective in controlling and suppressing symptoms in most cases. [53] Once daily use is generally enough. [4] For mild-moderate eczema a weak [en.wikipedia.org]
- Metal Worker
[…] fluxes Mechanics Rubber gloves, chromates, epoxy resin, antifreeze Medical personnel Rubber gloves, anesthetics, antibiotics, antiseptics, phenothiazines, formaldehyde, glutaraldehyde, liquid chloroxylenol, hand creams Metal workers Nickel, chromates [ccohs.ca]
Contact dermatoses in metal workers, Int J Immunopathol Pharmacol, 2000, vol. 13 (pg. 43 - 47 ) 25. Dermatitis among automobile production machine operators exposed to metal-working fluids, Am J Ind Med, 1996, vol. 30 (pg. 421 - 429 ) 26. [academic.oup.com]
Worker’s compensation It is often necessary to withdraw a patient from work. [iloencyclopaedia.org]
In the metallurgical industry, the professions most affected by OCD were sheet metal worker boilermakers (n = 101; 10.6%), toolmakers and related workers (n = 95; 9.9%), welders and cutters (n = 69; 7.2%), grinders, polishers and tool sharpeners (n = [karger.com]
- Dentist
Coal miners Rubber boots and masks Construction workers Chromates, cobalt, rubber and leather gloves, resins, woods Cooks and caterers Foods, onions, garlic, spices, flavours, rubber gloves, sodium metabisulphite, lauryl and octyl gallate, formaldehyde Dentists [ccohs.ca]
Gold allergy, once thought to be rare, is now detected with increasing frequency among jewellers, dentists, and electronic technicians. [ncbi.nlm.nih.gov]
Those with a latex allergy must not forget to tell dentists or medical practitioners about the allergy before any medical procedure. Eczema Sometimes people use the words eczema and dermatitis to mean the same thing but they are different. [skincancer.asn.au]
- Painter
Medical personnel Rubber gloves, anesthetics, antibiotics, antiseptics, phenothiazines, formaldehyde, glutaraldehyde, liquid chloroxylenol, hand creams Metal workers Nickel, chromates, additives in some cutting oils Office workers Rubber, nickel, glue Painters [ccohs.ca]
The principal professions at risk for OCD within the construction industry and public works were, in descending order, masons (n = 1,636; 53.5%), machinery operators and drivers (n = 633; 20.1%), layers of flooring and tiles (n = 205; 6.7%), house painters [karger.com]
Skin
- Dermatitis
Preferred Name occupational dermatitis Synonyms Occupational Dermatitis Occupational dermatitis (disorder) Occupational eczema (disorder) [Ambiguous] Occupational eczema (disorder) Occupational dermatitis Occupational allergic contact dermatitis (disorder [bioportal.bioontology.org]
Occupational contact dermatitis (OCD) includes allergic contact dermatitis, irritant contact dermatitis and protein contact urticaria. [karger.com]
We show three cases of occupational dermatitis caused by vulcanization accelerator in rubber gloves. Case 1 A 24-year-old female patient with atopic dermatitis developed prurigo type dermatitis and erythema on her arms and hands. [omicsonline.org]
Irritant contact dermatitis The most common form of occupational dermatitis is irritant contact dermatitis. [occupationaldermatitis.org.uk]
Then we can help you claim for dermatitis. Occupational dermatitis can present itself in different ways. [awhsolicitors.co.uk]
- Eczema
Preferred Name occupational dermatitis Synonyms Occupational Dermatitis Occupational dermatitis (disorder) Occupational eczema (disorder) [Ambiguous] Occupational eczema (disorder) Occupational dermatitis Occupational allergic contact dermatitis (disorder [bioportal.bioontology.org]
Individuals’ ability to work and quality of life are reduced by hand eczema [ 33 ], and outbreaks of hand eczema could lead to increasing medical costs. [omicsonline.org]
Young people with a history of eczema should be advised to take appropriate skincare measures as soon as they start work, in order to minimise their risk of contact dermatitis. [medicinetoday.com.au]
The eczema was healed in tine‐quarter of the patients, on‐Half had periodic symptoms, and one‐quarter had permanent symptoms. [onlinelibrary.wiley.com]
Eczema Sometimes people use the words eczema and dermatitis to mean the same thing but they are different. A good way to explain the different is eczema comes from within the body and dermatitis is caused by something ‘outside’ of the body. [skincancer.asn.au]
- Ulcer
Fissured skin and ulcerations (full thickness epidermal loss) are also frequent. Contact dermatitis Contact dermatitis is frequent among construction workers. [dermnetnz.org]
Necrosis and ulceration may be seen with corrosive materials. A more subacute or chronic occupational ICD is characterized by hyperkeratosis, fissuring, glazed, or scalded appearance. [dermatologyadvisor.com]
[…] doubtful reaction, mild macular erythema + weak reaction, mild papular erythema ++ strong reaction, erythema, oedema, vesicles +++ extreme reaction, bullous or ulcerative; IR irritant reaction, glazed erythema or erosion resemblinga burn. [iloencyclopaedia.org]
= Doubtful reaction: mild macular erythema + = Weak reaction: palpable erythema ++ = Strong reaction: erythema, papules, edema, vesicles +++ = Extreme reaction: large, bullous, or ulcerated IR = Irritant reaction: glazed erythema, burn-like erosion, pustules [ncbi.nlm.nih.gov]
The disorder predisposes to leg ulcers. (ICD-10 I83.1) Herpetiformis [ edit ] Dermatitis herpetiformis (Duhring's disease) causes an intensely itchy and typically symmetrical rash on arms, thighs, knees, and back. [en.wikipedia.org]
Neurologic
- Burning Sensation
Treatment involving emollients and corticosteroid medicines for symptoms such as redness, inflammation, dryness, itching or a burning sensation may be required. [idu.org.uk]
Although itch is a frequent complaint, the main symptoms are pain or a burning sensation, and the dermatitis presents as subacute to chronic eczema [ 3 ]. [ncbi.nlm.nih.gov]
Pain or burning sensation from an affected area Contact and allergic dermatitis may, however, have some differences in presentation [ 1 ] : Typical features of irritant contact dermatitis Typical features of allergic contact dermatitis Burning, stinging [patient.info]
As a general rule, irritant reactions tend to be mild, they burn more than they itch, they are usually present when the patches are removed and they fade rapidly. [iloencyclopaedia.org]
Perioral dermatitis refers to a red bumpy rash around the mouth. [15] Dermatitis herpetiformis symptoms include itching, stinging and a burning sensation. [en.wikipedia.org]
Workup
Patch testing is the gold standard for the workup of allergic contact dermatitis. [ncbi.nlm.nih.gov]
Treatment
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]
Prognosis
[…] 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 cleaners' exposure to cleaning agents and the frequency and duration of "wet work"; To assess the associations between cleaning exposures and wet work, and work-related dermatitis; To assess which factors increase the probability of a favourable prognosis [publichealth.massey.ac.nz]
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]
Etiology
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]
Epidemiology
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]
Zahm,Tongzhang Zheng,Nat Rothman,Dalsu Baris Cancer Epidemiology. 2009; 33(3-4): 276 [Pubmed] | [DOI] [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 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]
"Eczema Pathophysiology - World Allergy Organization". www.worldallergy.org. Archived from the original on 2 February 2017. Retrieved 28 January 2017. ^ "Eczema". University of Maryland Medical Center. [en.wikipedia.org]
Prevention
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 of occupational skin disease in hairdressers. Contact Dermatitis 1999;41:280-286. Van der Walle HB: Dermatitis in hairdressers. II. Management and prevention. Contact Dermatitis 1994;30:265-270. [karger.com]
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]