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Dermatitis ; 26(6): 276-83, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26551607

RESUMO

BACKGROUND: Workers are exposed to potential irritants and allergens with constant introduction of new industrial chemicals in the workplace. OBJECTIVE: Characterize the final diagnoses, demographics, occupations, exposures, clinical presentations, patch test results, dermatologic histories, and risk factors of workers evaluated for suspected work-related allergic contact dermatitis (ACD). METHODS: A retrospective chart review of 310 workers' compensation independent medical examinations evaluated for suspected work-related ACD was performed. Workers were seen in a community dermatology clinic in Portland, Oregon, from 2005 to 2014. Evaluation included history, physical examination, patch testing, and further diagnostic workup when indicated. RESULTS: Hand dermatitis was the most common presentation (n = 148, 47.7%). Prevalent occupations included health care workers (n = 51, 16.5%), custodial staff (n = 41, 13.2%), and machinists (n = 36, 11.6%). Allergic contact dermatitis (47.5%) was more common than irritant contact dermatitis (ICD) (38.9%) in those diagnosed as having occupational skin disease (n = 185). The highest-frequency work-related allergens were thiuram mix (21 of 88, 23.9%), carba mix (20 of 88, 22.7%), potassium dichromate (9 of 88, 10.2%), and epoxy resin (9 of 88, 10.2%). CONCLUSIONS: Allergic contact dermatitis and ICD are common occupational skin disorders. In this population of workers' compensation referrals, ACD was more common, with 73.3% of those cases work related, compared with 86.7% of ICD. Blue collar work and wet work were risk factors for the development of ACD and ICD.


Assuntos
Dermatite Alérgica de Contato/epidemiologia , Dermatite Irritante/epidemiologia , Dermatite Ocupacional/epidemiologia , Dermatoses da Mão/epidemiologia , Agricultura , Automóveis , Indústria da Construção , Dermatite Alérgica de Contato/diagnóstico , Dermatite Alérgica de Contato/etiologia , Dermatite Irritante/diagnóstico , Dermatite Irritante/etiologia , Dermatite Ocupacional/diagnóstico , Dermatite Ocupacional/etiologia , Ditiocarb/toxicidade , Resinas Epóxi/toxicidade , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/epidemiologia , Dermatoses Faciais/etiologia , Feminino , Serviços de Alimentação , Guanidinas/toxicidade , Dermatoses da Mão/induzido quimicamente , Dermatoses da Mão/diagnóstico , Setor de Assistência à Saúde , Zeladoria , Humanos , Incidência , Masculino , Indústria Manufatureira , Oregon/epidemiologia , Testes do Emplastro , Dicromato de Potássio/toxicidade , Estudos Retrospectivos , Tiram/toxicidade , Indenização aos Trabalhadores
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