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Occupational hand dermatitis in a tertiary referral dermatology clinic in Taipei.
- Source :
-
Contact dermatitis [Contact Dermatitis] 1995 Dec; Vol. 33 (6), pp. 414-8. - Publication Year :
- 1995
-
Abstract
- Occupational skin disease is one of the most common occupational diseases. The hand is the most frequent site of involvement in occupational skin disease. We interviewed and examined patients seen in the Contact Dermatitis Clinic of the National Taiwan University Medical Center, a tertiary referral center in Taipei City. For patients suspected of having allergic skin diseases, patch testing was carried out using the European standard series and suspected allergens. Occupational hand dermatitis (OHD) was diagnosed according to medical history, work exposure, physical examination, and patch test findings. 36% of patients seen were diagnosed as having OHD. Electronics, hairdressing, medical, chemical, and construction were the most important industries causing OHD. In the 164 patients with OHD, 58.5% had irritant contact dermatitis (ICD) and 41.5% allergic contact dermatitis (ACD). Dorsal fingers, nail folds, and dorsal hands were most frequently involved in patients with ACD; dorsal fingers, volar fingers and fingertips were most frequently involved in those with ICD. Using logistic regression analysis, we were able to identify the most important clinical presentations that predicted the types of OHD, ACD versus ICD. Patients with atopic history and palm involvement were more likely to have ICD, and those with nail fold involvement more likely to have ACD. In patients with ACD, the most important allergens were dichromate, nickel, cobalt, fragrance mix, epoxy resin, thiuram mix, and p-phenylenediamine. In this study, we identified the important industries and causal agents for OHD. Future preventive measures focused on these industries and agents to reduce OHD will be warranted.
- Subjects :
- Academic Medical Centers
Allergens
Beauty Culture
Chemical Industry
Chromates adverse effects
Cobalt adverse effects
Coloring Agents adverse effects
Dermatitis, Allergic Contact epidemiology
Dermatitis, Atopic epidemiology
Dermatitis, Irritant epidemiology
Electronics
Epoxy Resins adverse effects
Fungicides, Industrial adverse effects
Humans
Industry
Logistic Models
Nail Diseases epidemiology
Nickel adverse effects
Occupational Exposure
Patch Tests
Perfume adverse effects
Phenylenediamines adverse effects
Physicians
Taiwan epidemiology
Thiram adverse effects
Dermatitis, Occupational epidemiology
Hand Dermatoses epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0105-1873
- Volume :
- 33
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Contact dermatitis
- Publication Type :
- Academic Journal
- Accession number :
- 8706400
- Full Text :
- https://doi.org/10.1111/j.1600-0536.1995.tb02077.x