[Epidemiology of occupational dermatoses with special reference to chemical exposure].
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Biomedical subjects
Publications and source records attributed to E Zschunke.
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Acceleration of technical development results in growing difficulties to trace allergens. In this respect rare allergens as well as hidden sources of well-known allergens not infrequently cause persistence of allergic dermatitis. Examples are presented for di-ethyl-ester of maleic acid, hydroxylammoniumhydrochloride, N-methyl-p-aminophenol, 2-hydroxy-3-naphtoic acid o-aniside and N-acetoacetyl-benzylamide.
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It is reported on a case of porphyria cutanea tarda. With the exception of a low risk lead exposure during work no etiological factor could be revealed. Body deposits of lead were established by means of Ca-EDTA provocation. After cessation of exposure which was suggested to be the cause the state of health markedly improved. Thus, compensation due to occupational disease was recommended to workers insurance.
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When treating hard tooth structures with a turbine instrument, a polydisperse aerosol is formed from the turbine exhaust air and the cooling-water spray and by the rotation of the abrasive tool. The oral cavity repels this aerosol that is contaminated with micro-organisms and particles of enamel and filling materials. The present paper deals with the spatial propagation of the aerosol cloud in front of the patient's mouth in relation to the site of impact of the turbine instrument. Recommendations are given for practice to reduce the possibilities of infection.
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Progressive systemic sclerosis obviously more frequently appears in men working under silica dust exposure than in professionally not selected groups. Moreover, silicosis and sclerosis frequently occur combined. Pathogenetic association with regard to immunologic patterns may give an explanation for this phenomenon. Sclerosis occuring in the course of silicosis ought to be included when impairment for compensation purposes is taken into consideration.
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