A comparison between self‐reported hand eczema and self‐reported signs and symptoms of skin lesions indicating hand eczema

Yüksel, Yasemin Topal; Thyssen, Jacob P.; Nørreslet, Line Brok; Flachs, Esben Meulengracht; Ebbehøj, Niels Erik; Agner, Tove

doi:10.1111/cod.14183

Cited by 6 publications

(9 citation statements)

References 39 publications

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“…42 The highest sensitivity and specificity were found for redness and itch, both separately and combined, and the study concluded that the combination of ≥2 signs (redness, scaling, fissures and vesicles) and symptom of itch reached a sensitivity of 52.7% and specificity of 93.9%. 42 The disparity between self-reported HE, and HE diagnosed based on self-reported signs and symptoms highlights the differences in the data, when discussing the prevalence of HE. In our study, many of the subjects in the dichotomised group without HE also reported signs and symptoms of HE, possibly suggesting that the real prevalence of HE might be higher, when asking about signs and symptoms.…”

Section: Discussionmentioning

confidence: 93%

“…However, it was not investigated whether or not these signs were significantly more frequent in the cleaners with HE compared to those without. In a recent Danish study from 2022, including 795 healthcare workers, the correlation between self‐reported signs/symptoms of skin lesions and self‐reported HE was investigated 42 . The highest sensitivity and specificity were found for redness and itch, both separately and combined, and the study concluded that the combination of ≥2 signs (redness, scaling, fissures and vesicles) and symptom of itch reached a sensitivity of 52.7% and specificity of 93.9% 42 .…”

Section: Discussionmentioning

confidence: 99%

“…In a recent Danish study from 2022, including 795 healthcare workers, the correlation between self‐reported signs/symptoms of skin lesions and self‐reported HE was investigated 42 . The highest sensitivity and specificity were found for redness and itch, both separately and combined, and the study concluded that the combination of ≥2 signs (redness, scaling, fissures and vesicles) and symptom of itch reached a sensitivity of 52.7% and specificity of 93.9% 42 . The disparity between self‐reported HE, and HE diagnosed based on self‐reported signs and symptoms highlights the differences in the data, when discussing the prevalence of HE.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

et al. 2023

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BackgroundProfessional cleaners are commonly affected by hand eczema (HE) due to wet work and exposure to cleaning products in the work environment.ObjectiveTo investigate (1) the prevalence of HE in a group of professional hospital cleaners, (2) the association of HE with various comorbidities and self‐reported signs/symptoms of skin lesions and (3) the association of HE with various occupational and personal risk factors in the same population.MethodsA cross‐sectional questionnaire‐based study including all cleaners working in three hospitals in Denmark. The questionnaire was composed of 35 questions. Prevalence is reported using proportions with 95% confidence intervals and compared using difference of proportions and Fisher's exact test.ResultsA total of 122 out of 180 cleaners (response rate = 68%) participated in this study. The self‐reported lifetime prevalence of HE among the cleaners was 30.3%, while the 1‐year prevalence was 18.9%. HE was significantly associated with a history of atopic diseases. There was a significant correlation between having HE, and self‐reported redness and itch of the hands in the last 12 months, as well as the use of hydrochloric acid ≥4 days/week during the last 12 months. Logistic regression analysis found HE significantly associated with washing hands ≥20 times during a working day and a history of atopic dermatitis.ConclusionCleaners are at an elevated risk of developing HE. More focus on education/information regarding the prevention and treatment of HE is necessary for the cleaning profession. Self‐reported redness and itching of the hands may be a useful prediction of HE in cleaners.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

et al. 2023

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“…The low ability to recognize HE in clinical photographs brings focus to the reliability of self-reported HE in general, and underestimation of HE may be present, as emphasized by previous studies ( 17 , 18 , 27 ). Regarding the assessment of severity of HE, the majority of cleaners and HCW underestimated the severity of moderate HE, and HCW statistically significantly underestimated the disease severity of severe and very severe HE compared with cleaners.…”

Section: Discussionmentioning

confidence: 94%

Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema

Glenn Ullum,

Barati Sedeh,

Jemec

et al. 2024

Acta Derm Venereol

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Timely intervention reduces the risk of a poor prognosis in hand eczema, making early recognition of symptoms important in high-risk professions. However, limited data exist regarding the ability of cleaners and healthcare workers to recognize hand eczema. The aim of this study was to examine cleaners’ and healthcare workers’ ability to recognize hand eczema in clinical photographs and to assess the severity of the disease. Cleaners and healthcare workers completed a questionnaire consisting of 16 questions and participated in a structured interview referring to a validated photographic severity guide for chronic hand eczema, which comprised clinical photographs of hand eczema at varying levels of severity. Eighty cleaners and 201 healthcare workers (total N = 281) participated in the study. The rates of correctly identified hand eczema in clinical photographs (cleaners/ healthcare workers) were: 41.2%/57.7% (mild hand eczema), 81.2%/92.0% (moderate hand eczema), 85.0%/94.5% (severe hand eczema) and 82.5%/97.0% (very severe hand eczema). The proficiency of healthcare workers in recognizing hand eczema was significantly higher than that of cleaners. The results indicate that a large proportion of cleaners and healthcare workers fail to recognize mild hand eczema in clinical photographs. Healthcare workers had higher success rates in recognizing hand eczema in all severity categories. Symptom underestimation may lead to under-reporting of the true prevalence of hand eczema, with consequent loss of opportunities for prevention.

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“…Additionally, among all self-reported allergic children, 14.8% were excluded from the allergy diagnosis by a physician, suggesting that "allergy" as a common disease may be overestimated by children and their parents. In fact, allergic diseases, including eczema and drug allergies, are often over-self-reported [18,19]. House dust mites are the primary inhalant allergens in China, particularly in the southern regions [20,21].…”

Section: Discussionmentioning

confidence: 99%

Study of Allergy and Sensitization Relationship in Children and Parents in Southern China

Gan,

Huang,

Zhu

et al. 2023

Int Arch Allergy Immunol

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Introduction: The incidence of allergic diseases has increased globally, with genetics playing an essential role in these conditions’ development. However, there is still a gap in understanding of how parental allergy status affects children’s allergies. Methods: An electronic questionnaire was used to assess allergy-related symptoms in kindergarten children and their parents, with a clinical diagnosis and concurrent serum allergen-specific immunoglobulin E (IgE), total IgE, and blood cell counts obtained. Results: 88 family groups were enrolled, with allergy prevalence of 85.2% in children, 50% in fathers, and 42% in mothers. Allergic rhinoconjunctivitis was the most common allergic disease. When the mother had an allergy, the children’s allergy diagnosis rate was 91.3%; 86.67% when the father had an allergy; and 85.71% when both parents had allergies. The child sensitization rate was 78.26% when the father had sensitization, 59.09% just as the mother had sensitization, and 84.21% when both parents had sensitization. Paternal allergies affected children’s quality of life due to allergic rhinitis but not their rhinitis symptoms. Maternal allergies or sensitization did not significantly affect children’s symptoms or quality-of-life scores. Conclusion: The study found a positive correlation between childhood and parental allergies, and further studies are needed to confirm the findings.

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A comparison between self‐reported hand eczema and self‐reported signs and symptoms of skin lesions indicating hand eczema

Cited by 6 publications

References 39 publications

Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

Prevalence and risk factors for hand eczema among professional hospital cleaners in Denmark: A cross‐sectional questionnaire‐based study

Professional Cleaners’ and Healthcare Workers’ Ability to Recognize Hand Eczema

Study of Allergy and Sensitization Relationship in Children and Parents in Southern China

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