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At least 19 recordsLinked to original sources
PubMed2004

Treatment of chronic hand dermatoses with UVB-TL01.

UVB-TL01 is proven to be efficient in whole body treatment for several chronic inflammatory dermatoses. Chronic hand dermatoses of different and often mixed genesis represent a great problem in clinical practice. We have performed a prospective, open study with patients suffering from psoriasis, eczema or pustulosis of the hands treated with hand UVB-TL01. Thirty patients (23 women and 7 men) were included, mean age 43 years (range 25-68 years). The psoriatics were the best responders, as 9 of 11 were improved or much improved after 20-38 treatments, compared to 11 of 16 patients with eczema (11-31 treatments). One of three patients with palmar pustulosis experienced improvement after 23-27 treatments. UVB-TL01 seems to be helpful in the majority of patients with chronic inflammatory diseases of the hands. More extensive studies with regard to proper dosing and length of treatment period ought to be carried out.

Adult↗
PubMed1990

[Hand dermatoses in children].

Dermatoses of the hand in children are part of an original entity which can be classified in two groups: a group involving exclusively the hands and another one which is predominantly involving the hands. Attention has been focussed mostly on hand dermatoses in children (acropustulosis of infancy, papular, acrodermatitis, hand foot and mouth disease, subungual, exostosis). We discuss also the diagnostic and therapeutic aspects of scabies in children.

Acrodermatitis↗
PubMed1984

Hand dermatoses and sick-leave: relationship between educational level, physical activity at work and housework as main occupation.

In parallel with a coronary risk factor survey in northern Norway, 14,667 men and women answered questions concerning health, life style, and social background. The occurrence of hand dermatoses varied only slightly within groups with different educational level and groups with different physical activity at work. Women with housework as their main occupation had a somewhat higher frequency of hand dermatoses than employed women. Sick leave due to hand dermatoses was 4-5 times more frequent in both sexes in less educated compared to highly educated individuals, and more frequent in men and women with physically active jobs. These differences may partly reflect differences in the over-all frequency of sick leave.

Absenteeism↗
PubMed2006

Prevalence of hand dermatoses related to latex exposure amongst dentists in Queensland, Australia.

OBJECTIVES: To investigate the epidemiology of hand dermatoses symptoms and allergies, particularly those that suggested possible latex allergy. METHODS: In 2004, a self-reporting questionnaire was mailed to a random sample of 400 dentists from the Queensland Branch of the Australian Dental Association. RESULTS: A total of 285 questionnaires (73.1%) were completed and returned. Of the respondents, 73.3% were male and 26.7% female, with a mean age of 45.2 years (SD = 11.9 years) of whom 89.1% were general dentists, the remainder being specialists. Almost one third (29.1%) had experienced symptoms of hand dermatoses at some stage during the previous 12 months, with 15.1% experiencing symptoms during the previous three weeks. The most common symptom or sign was dry and cracked hands or fingers (22.5%). Only 2.1% of dentists had been medically diagnosed with latex allergy. The most common symptom or sign following the use of latex products was dermatitis (11.2%). CONCLUSIONS: Overall, this study showed that occupational dermatoses constitute a major occupational health problem among dentists in Queensland, Australia. Symptoms appear to be reported at a similar prevalence to other studies in developed countries. The identification of atopic dermatitis as a significant risk factor again stresses the importance of allergic disease and its relationship with occupational skin conditions. Although reducing exposure to potential allergens and irritants is an important minimisation strategy, further research is needed to identify occupational and non-occupational factors associated with occupational dermatoses in dental personnel.

Adult↗
PubMed2002

Psychological factors associated with hand dermatoses: which subgroup needs additional psychological care?

BACKGROUND: The aetiology of hand dermatoses (HD) is very heterogeneous. Psychological influences on severity and coping in hand eczema have been only rarely investigated. OBJECTIVES: To investigate whether psychological factors correlate with somatic factors, in order to be able to estimate the possible need for psychosocial treatment of these patients. METHODS: In a cross-sectional study 101 hand dermatosis patients (49F, 52M) with psoriasis (n = 26), vesicular hand eczema (n = 33) or contact dermatitis (n = 42) were examined with regard to dermatological [diagnosis, severity, Erlanger Atopy Score (EAS)], allergic (patch test) and psychological aspects [Coping with Chronic Skin Diseases questionnaire (CSD), Allover Depression Scale (ADS), Social Readjustment Rating Scale (SRRS), questionnaire for measuring Factors of Aggression (FAF)],and Visual Analogue Scales (VAS) concerning itching, scratching and impairment. Subgroups of high stress responders (high-SR) vs. low stress responders (low-SR) were also examined. RESULTS: Of the patients with HD, 47.52% are convinced that 'stress' influences the course of their disease. Analysis of variance shows that the subjective reaction to stress (high-SR) correlates with higher severity scores, more itching, higher depression scores and more life events. High-SRs were younger and the onset of the disease was earlier compared with patients without a subjective reaction to stress (low-SR). In the CSD those with especially high-SR but negative patch-test results stated significantly higher values for itching, helplessness and search for information. CONCLUSIONS: Psychological factors should be taken into consideration in the treatment of patients with HD. High-SR patients with a negative patch-test seem to require more adjuvant psychological care.

Adaptation, Psychological↗
PubMed1994

Prevalence of hand dermatoses among Finnish farmers.

OBJECTIVES: The goal of this study was to determine the prevalence and risk factors of hand dermatosis among farmers. METHODS: A questionnaire survey was carried out in a geographically defined sample of the Finnish farming population between the ages of 18 and 64 years (N = 10,847). RESULTS: The one-year prevalence of self-reported hand and forearm dermatoses was 16% for the women and 7% for the men. These figures were similar to the prevalence of hand eczema in two large Scandinavian questionnaire surveys. The highest one-year prevalence of hand dermatoses was found for women on farms with more than nine dairy cows (20%). Atopy (both the personal history of atopic dermatitis and respiratory atopy), female gender, and, among the women, also age under 35 years were the most important risk factors for the occurrence of hand dermatosis. Work-related risk factors were handling disinfectants daily, handling silage preservatives, milking cows, and machine servicing. CONCLUSIONS: Occupational risk factors for hand dermatoses were found, especially for dairy farming. The results may be useful for the prevention of hand dermatoses in farming since they direct attention to related occupational hazards, and they may also aid vocational guidance for the atopic population. In order to lower the prevalence of hand dermatoses in dairy farming, both preventive and protective measures should become everyday practice in farming work.

Adult↗
PubMed2004

Prevalence and risk factors of occupational hand dermatoses in electronics workers.

The electronics industry is becoming an important mainstream in the workforce in some developed countries and in Taiwan. Among patients with occupational hand dermatitis in northern Taiwan, workers from electronics industries were one of the most important groups. We conducted a field investigation to determine the prevalence, patterns and risk factors of occupational hand dermatoses among electronics workers. The survey was conducted in five electronics plants using a self-administered questionnaire on skin symptoms and risk factors. Skin examination and patch testing were followed for those with symptoms compatible with hand dermatitis. A total of 3070 workers completed the questionnaire. Among them, 302 (9.8%) reported to have symptoms (itching and with either redness/scaling) compatible with contact dermatitis on hands. Hand dermatitis was associated with working in the fabrication unit and personal history of atopy and metal allergy, as well as the following job titles: wafer bonding, cutting, printing/photomasking, softening/degluing, impregnation and tin plating. Among those with reported hand dermatitis, 183 completed skin examination and patch testing, 65/183 (35.5%) were diagnosed as having irritant contact dermatitis (ICD) and 7/183 (3.8%) allergic contact dermatitis. The most important allergens were nickel, cobalt and phenylenediamine. In conclusion, Taiwanese electronics workers have a high risk of having hand dermatitis, especially ICD. Preventive efforts should be focused on the workers with risk factors or at certain worksites.

Adolescent↗
PubMed2004

Prevalence of self-reported hand dermatoses in New Zealand dentists.

OBJECTIVES: To estimate the self-reported prevalence of hand dermatoses and irritation to the eyes, nose and airway among New Zealand dentists. MATERIALS AND METHODS: A cross-sectional survey used a postal questionnaire sent to all practising dentists on the New Zealand Dental Register. RESULTS: The response rate was 81.3 percent. Over 40 percent of dentists had experienced symptoms at some stage during their practising life, and one-third reported experience of symptoms during the previous 12 months. Prevalence was higher among females, more recent graduates, and those suffering from hay fever, asthma or any other allergic condition. One-third of sufferers had consulted a medical practitioner about the problem. Multivariate modelling showed that females had twice the odds of experiencing symptoms at some time during their practising life (after controlling for time since graduation, allergies and hay fever, lifelong wearing of gloves, and hobbies involving exposure to solvents). Those who reported hobbies involving solvents were over 11 times as likely to report having experienced symptoms at some time during their practising life. CONCLUSIONS: A substantial proportion of the dental practice workforce in New Zealand is at risk for occupational dermatoses. Reducing exposure to potential allergens and irritants is the key to minimising that risk.

Adult↗
PubMed1984

Hand dermatoses and contact allergic reactions in construction workers exposed to epoxy resins.

In 23/135 (18%) workers exposed to epoxy resins, a work-related dermatosis on the hands and/or forearms had been present during the past 3 years. In 9 persons, the occupational dermatosis was still present at the time of investigation. In all workers, patch tests were performed with epoxy resin, isophoronediamine, triethylenetetramine and xylenediamine. Positive patch tests were observed in 27 of the 135 exposed workers (20%) 13 of whom had never previously experienced skin problems. Epoxy resin accounted for the majority of the positive reactions. There was no relation between a history of atopy and the development of contact allergy. Only half of all workers had received any safety instructions. The wearing of gloves (mostly cotton), intended to protect the skin, had an adverse effect.

Construction Materials↗
PubMed1984

Hand dermatoses in Tromsø.

As a parallel project to a coronary risk factor survey in northern Norway, 14,667 men and women aged 18-55 years answered questions concerning the occurrence of allergic hand eczema. 364 men (4.9%) and 961 women (13.2%) had had allergic hand eczema during the previous 12 months. 49 men (0.7%) and 105 women (1.4%) claimed to have had one or more sick leaves because of hand eczema during the preceding 3 years. 114 subjects reported both eczema last year and sick leave during the preceding 3 years, of whom 74 were already registered in the files of the regional department of dermatology. The majority had irritant contact dermatitis. The incidence of hand eczema appears to be high in this part of Norway and the possibility that the subarctic climate may increase skin irritancy is discussed.

Absenteeism↗
PubMed1994

Occupational hand dermatoses of hairdressers in Tainan City.

OBJECTIVES: To determine the prevalence, clinical features, and patterns of hand dermatosis in hairdressers in Tainan, Taiwan, and to examine the associations between patterns of dermatosis and risk factors such as job description, work exposure, and sensitisation to common allergens. METHODS: Interviews, examinations, and patch tests of the hairdressers from nine hairdressing stores randomly selected from Tainan City. Patch test agents included 41 substances with common allergens, shampoo preservatives, hair dyes, permanent waving and bleaching agents. RESULTS: 98 hairdressers finished the examination, 83% of them had occupational dermatosis and 32% had scissor induced scars or wounds. Most of the dermatoses belonged to either dry metacarpophalangeal dermatitis or eczema of the fingers. 44% of the hairdressers showed positive skin reaction to one or more patch test agents. The patch test results were different from previous reports in that the most common allergens were nickel, thimerosal, Captan, Kathon CG, and fragrance mix, and that the sensitivity to hair dye and permanent wave ingredients were low. The dry metacarpophalangeal dermatitis was associated with exposure to shampoo, and the eczema of the fingers with skin sensitivity to patch test agents. CONCLUSION: Hairdressers in Tainan City had a high prevalence of dermatoses including traumatic wounds, and allergic and irritant contact dermatitis. The rates of sensitivity to some of the common sensitising agents were different from previous reports.

Adolescent↗
PubMed1986

Occupational hand dermatoses in hospital cleaning personnel.

Hospital cleaning personnel were examined for occupational dermatoses. 356 persons were included in the study. The age ranged from 20 to 63 years with a mean of 40.1 years. The period prevalence rate of moderate and severe eczema was 12% (10% in men and 19% in women). In 88%, the eczema was of a duration longer than 2 years. Positive patch tests were found in 10% of men and 53% of women with eczema. The main allergens were nickel, cobalt, chromate and rubber chemicals. Positive tests to cleaning agents were rare. One case of contact allergy to sodium dichloro-iso-cyanurate and one to lysol were diagnosed. Irritant factors played a major rôle in most cases (92%). Fungus infection as a cause or complication in hand eczema should not be left out of consideration: in 2 persons, a mycosis of hands and/or fingernails was diagnosed.

Dermatitis, Occupational↗
PubMed2000

Self-reported health complaints among general dental practitioners, orthodontists, and office employees.

Studies in the Scandinavian countries have shown that orthodontists run an equal or even greater risk of contracting dermatitis compared to other dental personnel. The aim of the study was to find out whether the self-reported occupation-related health problems of general dental practitioners and orthodontists differ from those of office employees in Finland. The subjects were 147 general dentists, 81 orthodontists and 99 office employees (77% women and 23% men). The data were collected using a mailed questionnaire. Within the past year, 42% of the subjects had had occupational health problems, while 51% had experienced symptoms in the previous year or earlier. The complaints of hand dermatoses, musculoskeletal, as well as respiratory symptoms were significantly more common among women than among men. Musculoskeletal complaints were the most common symptoms in all occupational groups, but the odds ratio of having them were significantly higher for dental professionals compared to office employees. The frequency of self-reported hand dermatoses was 42% for dental professionals and 26% for office employees, but the difference did not reach statistical significance. The odds of having hand dermatoses were higher for atopic subjects and for women. Orthodontists did not differ from general practitioners in respect of any of the complaints reported. Materials used in dentistry were mentioned as the cause of symptoms by 49 (21.5%) of the dental professionals. The present results show an increased risk of self-reported musculoskeletal symptoms for the dental professionals. Also, a tendency towards increased occurrence of skin symptoms was noted for the dental professionals compared to office employees of this study.

Chi-Square Distribution↗
PubMed1992

Virus infection and hand papular dermatoses in young children.

Four strains of enterovirus and 1 strain of adenovirus were isolated from stool and pharyngeal swabs by inoculation into primary human embryonic kidney cell culture in 25 cases of dorsum manus infantile papular dermatitis. Two strains of Coxsackie A-9 virus and 1 strain of Echovirus-25 were identified. With the isolated virus as antigen, a matched pair study by sera antibody test was carried out in 43 children with papular dermatitis and 40 normal individuals as controls. In 26 cases of Coxsackie A-9 virus positive papular dermatitis, a 4-fold rise (> 1:1.6) in the relative serum antibody was observed in 80.77%, while no high levels were observed in patients with Echovirus-25 and adenovirus dermatitis (< 1:16). The authors can reasonably conclude that epidemic Coxsackie A-9 virus infection is obviously related to infantile papular dermatitis and is probably the main cause of the disease.

Antibodies, Viral↗