Epidemiological case-control study on contact sensitisation in female foot care specialists with occupational contact dermatitis: Patch test data of the Information Network of Departments of Dermatology (IVDK), 2008 to 2022.
allergic contact dermatitis
foot care specialists
hand dermatitis
occupational
patch test
podiatrist
Journal
Contact dermatitis
ISSN: 1600-0536
Titre abrégé: Contact Dermatitis
Pays: England
ID NLM: 7604950
Informations de publication
Date de publication:
05 Jun 2024
05 Jun 2024
Historique:
revised:
13
05
2024
received:
01
04
2024
accepted:
22
05
2024
medline:
6
6
2024
pubmed:
6
6
2024
entrez:
6
6
2024
Statut:
aheadofprint
Résumé
Mainly women work as foot care specialists (FCS). They are at risk to develop occupational dermatitis (OD). The objective of this study is to describe the contact sensitisation pattern of female FCS with OD. In a retrospective study, patch test and clinical data collected by the Network of Departments of Dermatology (IVDK) from 2008 to 2022 were analysed. Data of 116 female FCS with OD were compared with data of 13 930 female patients with OD working in other professions and 78 612 female patients without OD. Hand dermatitis (93.1%) was significantly more common and face dermatitis (0.9%) significantly less common in female FCS with OD compared to other female patients with or without OD. Frequent suspected allergen sources were disinfectants, gloves, leave-on and nail cosmetics. Occlusion and wetness were important co-factors. The most common diagnoses were irritant contact dermatitis (26.7%) and allergic contact dermatitis (21.6%). No sensitisation to any of the baseline series allergens was significantly more frequent in female FCS with OD than in the two control groups. However, sensitisations to allergens which FCS are abundantly exposed to, including fragrances, preservatives, rubber ingredients and disinfectants, were most common. FCS should be aware of the OD risk and prevention should be promoted.
Sections du résumé
BACKGROUND
BACKGROUND
Mainly women work as foot care specialists (FCS). They are at risk to develop occupational dermatitis (OD).
OBJECTIVES
OBJECTIVE
The objective of this study is to describe the contact sensitisation pattern of female FCS with OD.
METHODS
METHODS
In a retrospective study, patch test and clinical data collected by the Network of Departments of Dermatology (IVDK) from 2008 to 2022 were analysed. Data of 116 female FCS with OD were compared with data of 13 930 female patients with OD working in other professions and 78 612 female patients without OD.
RESULTS
RESULTS
Hand dermatitis (93.1%) was significantly more common and face dermatitis (0.9%) significantly less common in female FCS with OD compared to other female patients with or without OD. Frequent suspected allergen sources were disinfectants, gloves, leave-on and nail cosmetics. Occlusion and wetness were important co-factors. The most common diagnoses were irritant contact dermatitis (26.7%) and allergic contact dermatitis (21.6%). No sensitisation to any of the baseline series allergens was significantly more frequent in female FCS with OD than in the two control groups. However, sensitisations to allergens which FCS are abundantly exposed to, including fragrances, preservatives, rubber ingredients and disinfectants, were most common.
CONCLUSIONS
CONCLUSIONS
FCS should be aware of the OD risk and prevention should be promoted.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). Contact Dermatitis published by John Wiley & Sons Ltd.
Références
Thyssen JP, Schuttelaar MLA, Alfonso JH, et al. Guidelines for diagnosis, prevention, and treatment of hand eczema. Contact Dermatitis. 2022;86(5):357‐378. doi:10.1111/cod.14035
Dietz JB, Menne T, Meyer HW, et al. Degree of employment, sick leave, and costs following notification of occupational contact dermatitis‐a register‐based study. Contact Dermatitis. 2021;84(4):224‐235. doi:10.1111/cod.13719
Diepgen TL, Scheidt R, Weisshaar E, John SM, Hieke K. Cost of illness from occupational hand eczema in Germany. Contact Dermatitis. 2013;69(2):99‐106.
Quaade AS, Alinaghi F, Dietz JB, Erichsen CY, Johansen JD. Chronic hand eczema: a prevalent disease in the general population associated with reduced quality of life and poor overall health measures. Contact Dermatitis. 2023;89(6):453‐463. doi:10.1111/cod.14407
Olesen CM, Agner T, Ebbehoj NE, Caroe TK. Factors influencing prognosis for occupational hand eczema: new trends. Br J Dermatol. 2019;181(6):1280‐1286. doi:10.1111/bjd.17870
Schnuch A, Geier J, Lessmann H, Arnold R, Uter W. Surveillance of contact allergies: methods and results of the Information Network of Departments of Dermatology (IVDK). Allergy. 2012;67(7):847‐857.
Uter W, Mackiewicz M, Schnuch A, Geier J. Interne Qualitätssicherung von Epikutantest‐Daten des multizentrischen Projektes ‘Informationsverbund Dermatologischer Kliniken (IVDK)’. Dermatol Beruf Umwelt. 2005;53:107‐114.
Uter W, Schnuch A, Gefeller O. Guidelines for the descriptive presentation and statistical analysis of contact allergy data. Contact Dermatitis. 2004;51(2):47‐56.
Mahler V, Nast A, Bauer A, et al. S3 guidelines: Epicutaneous patch testing with contact allergens and drugs ‐ short version, part 1. J Dtsch Dermatol Ges. 2019;17(10):1076‐1093. doi:10.1111/ddg.13956
Mahler V, Nast A, Bauer A, et al. S3 guidelines: Epicutaneous patch testing with contact allergens and drugs ‐ short version, part 2. J Dtsch Dermatol Ges. 2019;17(11):1187‐1207. doi:10.1111/ddg.13971
Schnuch A. PAFS: population‐adjusted frequency of sensitization. (I) Influence of sex and age. Contact Dermatitis. 1996;34(6):377‐382. doi:10.1111/j.1600‐0536.1996.tb02236.x
Schnuch A, Geier J, Uter W, et al. National rates and regional differences in sensitization to allergens of the standard series. Population‐adjusted frequencies of sensitization (PAFS) in 40,000 patients from a multicenter study (IVDK). Contact Dermatitis. 1997;37(5):200‐209. doi:10.1111/j.1600‐0536.1997.tb02435.x
Bauer A, Pesonen M, Brans R, et al. Occupational contact allergy: the European perspective‐analysis of patch test data from ESSCA between 2011 and 2020. Contact Dermatitis. 2023;88(4):263‐274. doi:10.1111/cod.14280
Brans R, Schroder‐Kraft C, Skudlik C, John SM, Geier J. Tertiary prevention of occupational skin diseases: prevalence of allergic contact dermatitis and pattern of patch test results. Contact Dermatitis. 2019;80(1):35‐44.
Schubert S, Bauer A, Molin S, Skudlik C, Geier J. Occupational contact sensitization in female geriatric nurses: data of the Information Network of Departments of Dermatology (IVDK) 2005‐2014. J Eur Acad Dermatol Venereol. 2017;31(3):469‐476.
Dietz JB, Menne T, Meyer HW, et al. Impact of atopic dermatitis on occupational contact dermatitis among young people: a retrospective cohort study. Contact Dermatitis. 2024;90(2):143‐152. doi:10.1111/cod.14426
Coenraads PJ, Diepgen TL. Risk for hand eczema in employees with past or present atopic dermatitis. Int Arch Occup Environ Health. 1998;71(1):7‐13.
Visser MJ, Landeck L, Campbell LE, et al. Impact of atopic dermatitis and loss‐of‐function mutations in the filaggrin gene on the development of occupational irritant contact dermatitis. Br J Dermatol. 2013;168(2):326‐332. doi:10.1111/bjd.12083
Molin S, Bauer A, Schnuch A, Geier J. Occupational contact allergy in nurses: results from the information network of departments of dermatology 2003–2012. Contact Dermatitis. 2012;72(3):164‐171.
Schnuch A, Schubert S, Lessmann H, Geier J, IVDK. The methylisothiazolinone epidemic goes along with changing patients' characteristics ‐ after cosmetics, industrial applications are the focus. Contact Dermatitis. 2020;82(2):87‐93. doi:10.1111/cod.13414
Brans R, Schroder‐Kraft C, Bauer A, et al. Contact sensitizations in massage therapists with occupational contact dermatitis: patch test data of the information network of departments of dermatology, 2008–2020. Contact Dermatitis. 2023;88(1):43‐53. doi:10.1111/cod.14218
Geier J, Lessmann H, Mahler V, Pohrt U, Uter W, Schnuch A. Occupational contact allergy caused by rubber gloves – nothing has changed. Contact Dermatitis. 2012;67(3):149‐156.
Uter W, Lessmann H, Geier J, Schnuch A. Is the irritant benzalkonium chloride a contact allergen? A contribution to the ongoing debate from a clinical perspective. Contact Dermatitis. 2008;58(6):359‐363. doi:10.1111/j.1600‐0536.2008.01327.x
Forkel S, Beutner C, Amschler K, et al. Improving povidone‐iodine and iodine preparations for patch testing. Contact Dermatitis. 2021;84(5):332‐337. doi:10.1111/cod.13760
Forkel S, Schubert S, Dickel H, et al. The benefit of late readings in patch testing depends both on allergen and patient characteristics. Allergy. 2022;77(5):1477‐1485. doi:10.1111/all.15149