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Causes of chromate dermatitis in Poland.

A series of 250 consecutive patients with dermatitis and positive patch tests to chromate was divided into three groups: nonoccupational dermatitis (94), occupational dermatitis caused by chromate (132) and occupational dermatitis caused by allergens other than chromate (24). Only 17.2% of patients did not report harmful effects from chromium-tanned leather. Shoes were most often not tolerated. The role of matches in the development of chromate dermatitis is discussed. Observations on ash, household detergents, textiles, wood, tattooing, cement, galvanizing solutions, printer's ink, welding fumes, corrosion inhibitors and oils are described as causes of chromate dermatitis in Poland, as well as the localization of dermatitis and relevance of patch test reactions.

Adolescent↗

Occupational contact dermatitis. Recognition and management.

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.

Dermatitis, Occupational↗

Occupational nickel dermatitis in the electroforming industry.

An outbreak of occupational dermatitis in an electroforming plant where there was heavy exposure to nickel is described. Patch test investigations confirmed nickel allergy in 13 of 27 exposed individuals. Nickel chloride was found to be a more reliable patch test allergen than nickel sulphate. Improvements in industrial hygiene led to an immediate decrease in the incidence of dermatitis. Persistent patch test sensitivity to nickel was found in three individuals who had been removed from the process chemicals for some years.

Dermatitis, Occupational↗

[Comparison of the causes of occupational atopic dermatitis diagnosed at the Institute of Occupational Medicine in Lódź 1972-1978 and 1979-1987].

The causes leading to occupational contact eczema were compared in two time periods 1972-1978 and 1979-1987. An increase was observed in the second period in the frequency of occupational eczema in women and greater incidence in health service workers. Occupational contact eczema was diagnosed most frequently in construction workers, in machinery and metallurgic industry and in weavers and textile workers. The causes of occupational eczema remained unchanged, the most frequent causes were still hypersensitivity to chromium, cobalt and epoxy resins. No increase in the frequency of hypersensitivity to nickel was noted.

Dermatitis, Atopic↗

Strategies for prevention: occupational contact dermatitis.

The economic consequence of occupational contact dermatitis (OCD) is considerable and impacts on an individual's quality of life. There are a range of prevention strategies, which include: elimination or substitution of harmful exposures; technical control measures; personal protection; identification of susceptible individuals; and education, training and health surveillance. Each one has been shown to have varying degrees of success in reducing OCD, but further work is required to evaluate the effectiveness of preventive measures in the workplace. OCD is not considered a high priority in most affected industries and therefore the development of health and safety policies to reduce its prevalence should be encouraged, although guidance and assistance would be required, because all employees are entitled to a safe working environment.

Dermatitis, Occupational↗

Occupational health among migrant and seasonal farmworkers: the specific case of dermatitis.

Occupational health studies of agricultural workers have generally excluded migrant and seasonal farmworkers, and this population experiences a high degree of health risk from agricultural exposures. A survey of dermatologic disorders among migrant and seasonal farmworkers will be used to illustrate this point. Data from a recent field study are presented to illustrate epidemiologic approaches to studying dermatologic disorders in farmworkers and risk factors for dermatitis. This study suggests there is generally a high health risk to agricultural workers and this study also suggests methods to investigate other acute and chronic diseases among agricultural workers.

Agricultural Workers' Diseases↗

The prognosis of occupational contact dermatitis in 2004.

The prognosis of occupational contact dermatitis (OCD) takes into account the extent of healing, effect on quality of life and employment, and financial costs for both the individual and the wider community. We reviewed 15 studies published between 1958 and 2002, reporting the complete clearance of dermatitis (range of 18-72%). 9 of the 15 studies reported a clearance rate of between 18 and 40%. Improvement was reported as an outcome in 3 studies between 1991 and 2002 (range of 70-84%). A number of common variables were identified as of possible influence. These include age, sex, atopy, patient knowledge, disease aetiology, duration of symptoms and job change; clinical, financial and social issues are also described. All of these factors need to be considered when managing a patient with OCD. Improved patient knowledge and early diagnosis may be associated with improved prognosis, whereas job change does not make a significant difference. Some patients will develop persistent post-occupational dermatitis, which has important implications for prognosis and workers' compensation. Only a small proportion of eligible patients receive workers' compensation, even though financially supported healing time soon after diagnosis may result in an improved prognosis.

Cost of Illness↗