Abstract
Occupational contact dermatitis (OCD) represents 90 to 95% of all occupational dermatoses. The incidence rate of OCD is estimated to be around 0.5 to 1.9 cases per full-time worker per year. However, epidemiologic data are lacking and incidence is probably underestimated, especially in the US. Over the past 20 years, OCD has been the most frequently reported occupational disorder to German social insurance institutions.
Critical factors in the management of OCD are recognition of clinical features, knowledge of allergens and irritants present in different occupational fields, knowledge of suitable protection, interpretation of patch test results, and awareness of medicolegal aspects. Management of OCD should be carried out by dermatologists and patch test clinics in cooperation with physicians specialized in industrial medicine.
Individuals at high risk of OCD are hairdressers, dental laboratory technicians, other healthcare workers, construction industry workers, metal workers, leather and shoe manufacturers, florists and gardeners, and bakers, caterers, confectioners and cooks.
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References
Rycroft R.J.G. Occupational contact dermatitis. In: Rycroft R.J.G., Menné T., Frosch P.G. Textbook of Contact Dermatitis. 2nd ed. Berlin: Springer Verlag, 1995: 343–400
Diepgen T.L., Coenraads P.J. The epidemiology of occupational contact dermatitis. Int Arch Occup Environ Health 1999; 72: 496–506
Mathias C.T., Morrison J.H. Occupational skin diseases, United States: results from the Bureau of Labor Statistics Annual Survey of Occupational Injuries and Illnesses, 1973 through 1984. Arch Dermatol 1988; 124: 1519–1524
Van der Walle H.B. Dermatitis in hairdressers (II). Management and prevention. Contact Dermatitis 1994; 30: 265–270
Uter W., Pfahlberg A., Gefeller O., et al. Hand dermatitis in a prospective-followed cohort of hairdressing apprentices: final results of the POSH study. Contact Dermatitis 1999; 41: 280–286
Bjórkner B. Plastic materials. In: Rycroft R.J.G., Menné T., Frosch P.G. Textbook of contact dermatitis. 2nd ed. Berlin: Springer Verlag, 1995: 537–572
Schnuch A., Lehmacher W. Zur epidemiologischen Überwachung des Kontaktekzems/Darstellung des Projektes Informationsverbund Dermatologischer Kliniken (IVDK) in Anlehnung an die Guidelines for Evaluating Surveillance Systems des Center of Disease Control (CDC). Dermatosen 1992; 40: 177–189
Uter W., Gefeller O., Schwanitz H.J. Occupational dermatitis in hairdressing apprentices: early onset of irritant skin damage. Curr Probl Dermatol 1995; 23: 49–55
Straube M., Uter W., Schwanitz H.J. Occupational allergic contact dermatitis from thiolactic acid contained in ‘ester-free’ permanent-waving solutions. Contact Dermatitis 1996; 34: 229–230
Fisher A.A. Contact dermatitis from food additives and dyes. In: Rietschel R.L., Fowler J.F., editors. Fisher’s contact dermatitis. 4th ed. Baltimore (PA): Williams & Wilkins, 1995: 693
Frosch P.J., Burrows D., Camarasa J.G., et al. Allergic reactions to a hairdressers’ series: results from 9 European centres. Contact Dermatitis 1993; 28: 180–183
Van der Walle H.B., Brusveld V.M. Latex allergy among hairdressers. Contact Dermatitis 1995; 32: 177–178
Freeman S., Lee M.S. Contact urticaria to hair conditioner. Contact Dermatitis 1996; 35: 195–196
Estlander T., Rajaniemi R., Jolanki R. Hand dermatitis in dental technicians. Contact Dermatitis 1984; 10: 201–205
Mürer A.J.L., Poulsen O.M., Roed-Petersen J., et al. Skin problems among Danish dental technicians. A cross-sectional study. Contact Dermatitis 1995; 33: 42–47
Rustemeyer T., Frosch P.J. Occupational skin diseases in dental laboratory technicians. (I) Clinical pictures and causative factors. Contact Dermatitis 1996; 34: 125–133
Fisher A.A. Contact dermatitis in health personnel. In: Rietschel R.L., Fowler J.F., editors. Fisher’s contact dermatitis. 4th ed. Baltimore (PA): Williams & Wilkins, 1995: 595
Kanerva L., Jolanki R., Estlander T. 10 years of patch testing with the (meth)acrylate series. Contact Dermatitis 1997; 37: 255–258
Andersson T., Bruze M., Bjórkner B. In vivo testing of the protection of gloves against acrylates in dentin-bonding systems on patients with known contact allergy to acrylates. Contact Dermatitis 1999; 41: 254–259
Peiler D., Rustemeyer Th., Pflug B., et al. Allergic contact dermatitis in dental laboratory technicians. Part II: major allergens and their clinical relevance. Dermatol Beruf Umwelt 2000; 48: 48–54
Hogan D.J. Contact dermatoses in healthcare workers. In: Menné T., Maibach H.I., editor. Exogenous dermatoses: environmental dermatitis. Boston: CRC Press, 1991: 389–400
Schnuch A., Uter W., Geier J., et al. Contact allergies in healthcare workers. Results form the IVDK. Acta Derm Venereol (Stockh) 1998; 78: 358–363
Baur X., Allmers H., Raulf-Heimsoth M., et al. Naturlatex-Allergie. Empfehlungen der interdisziplinären Arbeitsgruppe. Allergologie 1996; 19: 248–251
Wilkinsson S.M., Burt R. Latex: a cause of allergic contact eczema in users of natural latex gloves. J Am Acad Dermatol 1998; 39: 36–42
Wakelin S.H., Jenkins R.E., Rycroft R.J.G., et al. Patch testing with natural rubber latex. Contact Dermatitis 1999; 40: 89–93
Fuchs Th., Meinert A., Aberer W., et al. Benzalkoniumchlorid — relevantes Kontaktallergen oder Irritans? Hautarzt 1993; 44: 699–702
Fisher, A.A. Antiseptics and disinfectants. In: Rietschel R.L., Fowler J.F., editors. Fisher’s Contact Dermatitis. 4th ed. Baltimore (PA): Williams & Wilkins, 1995: 194
De Groot A.C. Unwanted effects of cosmetics and drugs used in Dermatology. 2nd ed. Amsterdam: Elsevier, 1985: 522
Schnuch A., Geier J., Uter W., et al. Patch testing with preservatives, antimicrobials and industrial biocides. Results from a multicentre study. Br J Dermatol 1998; 138: 467–476
Olivieri J., Eigenmann P.A., Hauser C. Severe anaphylaxis to a new disinfectant: polyhexanide, a chlorhexidine polymer. Schweiz Med Wochenschr 1998; 128: 1508–1511
Autegarden J.E., Pecquet C., Huet S., et al. Anaphylactic schock after application of chlorhexidine to unbroken skin. Contact Dermatitis 1999 Apr; 40 (4): 215
Snellman E., Rantanen T. Severe anaphylaxis after a chlorhexidine bath. J Am Acad Dermatol 1999; 40: 771–772
Majoie I.M.L., Van Ginkel C.J.W. The biocide iodopropynyl butylcarbamate (IPBC) as an allergen in cutting oils. Contact Dermatitis 2000; 43: 238–240
Bryld L.E., Agner T., Rastogi S.C., et al. Iodopropynyl butylcarbamate: a new contact allergen. Contact Dermatitis 1997; 36: 156–158
Pazzaglia M., Tosti A. Allergic contact dermatitis from iodo-2-propynylbutylcarbamate in a cosmetic cream. Contact Dermatitis 1999; 41: 290
Rustemeyer T., Pilz B., Frosch P.J. Kontaktallergien in medizinischen Berufen. Hautarzt 1994; 45: 834–844
Le Coz C.J., Coninx D., Van Rengen A., et al. An epidemic of occupational contact dermatitis from an immersion oil for microscopy in laboratory personnel. Contact Dermatitis 1999; 40: 79–83
Fisher A.A. Paresthesia due to contactants. In: Rietschel R.L., Fowler J.F., editors. Fisher’s contact dermatitis. 4th ed. Baltimore (PA): Williams & Wilkins, 1995: 547
Fisher A.A. Contact dermatitis and reactions to metals. In: Rietschel R.L., Fowler J.F., editors. Fisher’s contact dermatitis. 4th ed. Baltimore (PA): Williams & Wilkins, 1995: 829
Avnstorp C.H. Risk factors for cement eczema. Contact Dermatitis 1991; 25: 81–88
Koch P. Brûlures, nécroses et ulcérations cutanées dues au ciment. Ann Dermatol Vénéréol 1996; 123: 832–836
Condé-Salazar L., Gonzalez de Domingo M.A., Guimaraens D. Sensitization to epoxy resin systems in special flooring workers. Contact Dermatitis 1994; 31: 157–160
Jolanki R., Estlander T., Kanerva L. Occupational contact dermatitis and contact urticaria caused by epoxy resins. Acta Derm Venereol (Stockh) 1987; 134: 90–94
Geier J., Brehler R., Eck E., et al. Berufsspezifische Epikutantestung bei Maurern und Angehórigen verwandter Berufe. Dermatosen 1999; 47: 29–33
De Boer E.M., Van Ketel W.G., Bruynzeel D.P. Dermatoses in metal workers. (I). Irritant contact dermatitis. Contact Dermatitis 1989; 20: 212–218
Weidenbach T., Rakoski J. Gehäuftes Auftreten von dyshidrosiformen Handekzemen durch eine Öl-in-Wasser-Emulsion bei Metallarbeitern. Dermatosen 1985; 33: 121–124
Koch P. Kontaktallergien bei Metallarbeitern. Berufliche und allergologische Relevanz der Epikutantestung bei 17 Patienten. Dermatosen 1996; 44: 62–67
De Boer E.M., Van Ketel W.G., Bruynzeel D.P. Dermatoses in metal workers. (II). Allergic contact dermatitis. Contact Dermatitis 1989; 20: 280–286
Geier J., Lessmann H., Schumacher T.H., et al. Vorschlag für die Epikutantestung bei Verdacht auf Kontaktallergie durch Kühlschmierstoffe. Dermatosen 2000; 48: 232–236
Haudrechy P., Foussereau J., Mantout B., et al. Nickel release from nickel-plated metals and stainless steels. Contact Dermatitis 1994; 31: 249–255
Mancuso G., Reggiani M., Berdondini R.M. Occupational dermatitis in shoemakers. Contact Dermatitis 1996; 34: 17–22
Podmore P. Shoes. In: Rycroft R.J.G., Menné T., Frosch P.G. Textbook of Contact Dermatitis. 2nd ed. Berlin: Springer Verlag, 1995: 522
Koch P., Nickolaus G., Geier J. Kontaktallergien bei Lederherstellern, Lederverarbeitern und in der Schuhindustrie. Fünfjahresanalyse auf der Grundlage von Daten des Informationsverbundes Dermatologischer Kliniken (IVDK). Dermatosen 1996; 44: 257–262
Paulsen E., Søgaard J., Andersen K.E. Occupational dermatitis in Danish gardeners and greenhouse workers. (I). Prevalence and possible risk factors. Contact Dermatitis 1997; 37: 263–270
Merrick C., Fenney J., Clark E.C., et al. A survey of skin problems in floristry. Contact Dermatitis 1991 Apr; 24 (4): 306
Paulsen E., Stahl Skov P., Andersen K.E. Immediate skin and mucosal symptoms from pot plants and vegetables in gardeners and greenhouse workers. Contact Dermatitis 1998; 39: 166–170
Mitchell J.C., Dupuis G. Allergic contact dermatitis from sesquiterpenoids of the Compositae family of plants. Br J Dermatol 1971; 84: 139–150
Lamminpää A., Estlander T., Jolanki R., et al. Occupational allergic contact dermatitis caused by decorative plants. Contact Dermatitis 1996; 34: 330–335
Paulsen E., Andersen K.E. Occupational dermatitis in a Danish dermatology department in 1 year. (II). Clinical features in patients with Compositae allergy. Contact Dermatitis 1993; 29: 195–201
Fisher A.A. Toxicodendron plants and spices. In: Rietschel R.L., Fowler J.F., editors. Fisher’s contact dermatitis. 4th ed. Baltimore (PA): Williams & Wilkins, 1995: 488
Murphy G.M., White I.R., Hawk J.L.M. Allergic airborne contact dermatitis to Compositae with photosensitivity — chronic actinic dermatitis in evolution. Photodermatol Photoimmunol Photomed 1990; 7: 38–39
Green C., Ferguson J. Sesquiterpene lactone mix is not an adequate screen for Compositae allergy. Contact Dermatitis 1994; 31: 151–153
Lepoittevin J.P., Tomb R. Sesquiterpene lactone mix is not an adequate screen for Compositae allergy. Contact Dermatitis 1995; 32: 254
Paulsen E., Søgaard J., Andersen K.E. Occupational dermatitis in Danish gardeners and greenhouse workers. (III). Compositae-related symptoms. Contact Dermatitis 1998; 38: 140–146
White I.R. Photopatch testing. In: Rycroft R.J.G., Menné T., Frosch P.G. Textbook of Contact Dermatitis. 2nd ed. Berlin: Springer Verlag, 1995: 297
Bruynzeel D.P., De Boer E.M., Brouwer E.J., et al. Dermatitis in bulb growers. Contact Dermatitis 1993; 29: 11–15
Kanerva L., Estlander T., Jolanki R. Minimal alstroemeria exposure during skin testing causing an allergic contact dermatitis reaction. Eur J Dermatol 1994; 4: 616–617
Piirilä P., Keskinen H., Leino T., et al. Occupational asthma caused by decorative flowers: review and case reports. Int Arch Occup Environ Health 1994; 6: 131–136
Julian C.G., Browers P.W. The nature and distribution of daffodil picker’s rash. Contact Dermatitis 1997; 37: 259–262
Hausen B.M. Allergiepflanzen. Pflanzenallergene. Landsberg: Ecomed Verlag, 1988: 177–178
Ducombs G., Schmidt R.J. Plants and plant products. In: Rycroft R.J.G., Menné T., Frosch P.G. Textbook of Contact Dermatitis. 2nd ed. Berlin: Springer Verlag, 1995: 609–610
Kuligowski M.E., Chang A., Leemreize J.H.M. Allergic contact dermatitis from hydrangea: report of a 10th case. Contact Dermatitis 1992; 26: 269–270
Hausen B.M. Allergiepflanzen. Pflanzenallergene. Landsberg: Ecomed Verlag, 1988: 146
Mark K.A., Brancaccio R.R., Soter N.A., et al. Allergic contact and photoallergic dermatitis to plant and pesticide allergens. Arch Dermatol 1999; 135: 67–70
Tacke J., Schmidt A., Fartasch M., et al. Occupational contact dermatitis in bakers, confectioners and cooks. A population-based study. Contact Dermatitis 1995; 33: 112–117
Bauer A., Kelterer D., Stadeler M., et al. The prevention of occupational hand dermatitis in bakers, confectioners and employees in the catering trades. Preliminary results of a skin prevention program. Contact Dermatitis 2001; 44: 85–88
Morren M.A., Janssens V., Dooms-Goosens A., et al. Alpha-amylase, a flour additive: an important cause of protein contact dermatitis in bakers. J Am Acad Dermatol 1993; 29: 723–728
Straube M., Szliska Ch., Schwanitz H.J. Allergene und Irritanzien im Bäckerhandwerk. Allergologie 1996; 19: 494–499
Acciai M.C., Brusi C., Francalanci S., et al. Allergic contact dermatitis in caterers. Contact Dermatitis 1993 Jul; 29 (1): 48
Cronin E. Dermatitis of the hands in caterers. Contact Dermatitis 1987; 17: 265–269
Mathias C.T. The cost of occupational skin diseases. Arch Dermatol 1985; 121: 322–324
Diepgen T.L., Schmidt A., Berg A., et al. Medizinische Hinweise für die berufliche Rehabilitation von hautkranken Beschäftigten. Dt Ärztebl 1995; 92: A31–A40
Frosch P.J., Kurte A. Efficacy of skin barrier creams. (IV). The repetitive irrritation test (RIT) with a set of 4 standard irritants. Contact Dermatitis 1994; 31: 161–168
Frosch P.J., Schulze-Dirks A., Hoffmann M., et al. Efficacy of skin barrier creams. (II). Inefectiveness of a popular skin protector against various irritants in the repetitive irrritation test in the guinea pig. Contact Dermatitis 1993; 29: 74–77
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Koch, P. Occupational Contact Dermatitis. Am J Clin Dermatol 2, 353–365 (2001). https://doi.org/10.2165/00128071-200102060-00002
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DOI: https://doi.org/10.2165/00128071-200102060-00002