Allergologische Diagnostik und aktuelle Allergene in der Berufsdermatologie

Abstract

A broad spectrum of various substances may cause occupational allergic contact dermatitis. Often, it is difficult to identify potentially or truly relevant allergens at the workplace. Therefore, the consulting physician must have a comprehensive knowledge of possible allergens in different occupations to perform specific diagnostics and to initiate efficient secondary prevention by allergen avoidance. In this review, we give some practically relevant general comments on patch testing in occupational dermatitis, followed by a discussion of important occupational allergens in those occupational groups most frequently affected by occupational dermatitis. Finally, recommendations on which allergens should be tested in the respective occupational groups are given or reported from the literature.

Occupational skin diseases

“…Various publications on occupational contact allergies have been put forth by German Contact Dermatitis Research Group (DKG), the Information Network of Departments of Dermatology (Informationsverbund Dermatologischer Kliniken [IVDK]), and the Working Group on Occupational and Environmental Dermatology (Arbeitsgemeinschaft für Berufs‐ und Umweltdermatologie [ABD]). These are contained in a review by Geier and colleagues [6]. The review discusses common occupational allergens such as epoxy resins and glove allergies, affecting workers in various occupations, as well as the recommended test series by the DKG for patch testing in commonly affected occupational groups such as health care workers, hairdressers, nurses, massage therapists, bricklayers, metalworkers, and dental technicians (Table 5).…”

Etwas Altbewährtes, etwas Neues, etwas Geliehenes und etwas Blaues

“…Die alleinige Epikutantestung der Standardreihe ist in der Regel nicht ausreichend: Eine individuelle expositionsadaptierte Ergänzung von Testreihen und patienteneigenen Kontaktstoffen ist für eine konklusive Sicherung oder den Ausschluss der Diagnose Kontaktallergie notwendig [3]. Berufsspezifische Testempfehlungen wurden publiziert [5]. Eine qualitätsgesicherte Epikutantestung ist personal-und ressourcenintensiv.…”

10 years quality assurance of the dermatologist's procedure. ABD review board part II: 2003–2009

“…Eine Orientierung zur Allergenauswahl bei berufsdermatologischen Fragestellungen geben Geier J et al [12]. Dabei wurde die Durchführung in 7 Fällen bei fehlendem bzw.…”