Clinical and demographic characteristics of patients with occupational contact dermatitis: A 3-year single center experience

Abstract

Background and Design: Occupational contact dermatitis (OCD) is responsible for 80-90% of the occupational dermatoses. The aim of this work was to evaluate the clinical features of patients with OCD admitted to our hospital. Materials and Methods: The records of patients, who were admitted to our hospital with OCD between December 2009 and January 2013, were evaluated retrospectively. One hundred fifty-nine patients, who were diagnosed with OCD according to the Mathias criteria, were included in the study. Age, sex, location of the lesions, atopic status, glove use, occupational exposure time and total IgE levels of the patients were assessed. Patients with positive allergic reaction with "European Standard Series Skin Patch Test" were identified as allergic OCD and patients with negative test results as "irritant OCD". The clinical features and patch results of patients are evaluated. Results: One hundred fifty-nine patients with a mean age of 39±7.9 years consisted of 151 men and 8 women. The hands were the most common site of OCD; the palms were the most common affected areas of hand eczema. Eighty-one patients (50.1%) were identified to have allergic OCD and 78 (49.9%) as irritant OCD. Irritant OCD was most commonly seen in dental technicians, whereas allergic OCD was most commonly seen in tailors. The top 3 most frequent allergens were potassium dichromate (15.1%), nickel sulfate (9.11%) and cobalt chloride (10.7%). Conclusion: In our country, there has been no comprehensive study presenting the clinical and descriptive characteristics of OCD. For preventing OCD and reducing sick leave we need to have data that belong to our country. Consequently, multicenter studies should be performed for establishing our own database on OCD.

Patch Test Results of Patients with Occupational Contact Dermatitis

“…Bunu %11,9 ile nikel sülfat, %10,7 ile kobalt klorid takip etmiştir. 7 Sadogopan ve ark.nın yaptığı bir çalışmada, en sık saptanan mesleki kontakt alerjen potasyum dikromat olarak bulunmuş. Fakat bu çalışmada, hastaların üçte birinin inşaat-yapı sektöründe çalıştığı tespit edilmiş.…”

The effectiveness of İstanbul Occupational Diseases Hospital on employer attitude and worker’s health in terms of occupational skin diseases

“…Mesleki deri hastalıklarının çoğunu ise kontakt dermatitler oluşturur. Mesleki hastalıklar kronik sağlık problemlerine sebep olarak çalışanın ruh ve beden sağlığını bozmakta, maddi ve iş gücü kayıplarına yol açmaktadır 1 . Ayrıca meslek hastalığına yakalanan kişiler yasal haklarını savunmak ve hastalıklarının iyileşmesini sağlamak için meslek hastalıkları hastanelerinden meslek hastalığına yakalandıklarına dair rapor almak durumunda kalabilmektedirler.…”