Contact dermatitis and sensitization in professional musicians

Abstract

Background Professional musicians have prolonged and intense physical contact with their instruments. This can lead to occupational skin diseases, particularly irritant and allergic contact dermatitis. Objectives To assess the skin diseases and sensitization patterns common among professional musicians. Methods A retrospective analysis of the data of the Information Network of Departments of Dermatology (IVDK) was performed, including data from 1997 to 2017. Results We identified 236 professional musicians. In this group, male sex (58.6%) and younger age (60.6% aged < 40 years) were common. The musicians suffered more frequently from facial dermatitis (23.7% vs 15.7%) and less often from leg dermatitis (5.1% vs 10.7%) than the control group (the non‐musicians in the IVDK database). The most frequent diagnoses were allergic contact dermatitis, atopic dermatitis, and irritant contact dermatitis. The sensitization profile of the professional musicians was similar to that of the control group. In 8.9% of cases, an occupational background of skin disease was confirmed. Conclusions Severe occupational skin diseases among professional musicians are not as common as in classic “skin‐damaging” professions. However, as these skin conditions can mostly be controlled with simple preventive measures, we recommend that this group should be patch tested and treated by a specialist.

Intense skin reaction to a new glucose monitoring and insulin pump system

“…and when read on D7. 7 In the cases of both the FreeStyle Libre 1 and Omnipod, 2 IBOA is thought to originate from a UV-curing acrylate containing adhesives used in other parts of the devices. This may also be the case for the Medtrum devices, where higher amounts of IBOA were found in the adhesive patches removed from the devices, compared to the adhesive patches which had not been mounted on any device.…”

“…The patient was patch tested with our baseline series and a special medical device series. 7 Patch testing was also performed with pieces of the adhesive patches removed from the sensor and the insulin reservoir and with extracts of different materials in the sensor and insulin reservoir. From the glucose sensor, separate acetone extracts were made from the adhesive patch, the sensor, and the plastic support material.…”

Viola duet: A rare case of double sensitization to contact allergens in a professional musician

“…Many allergens may be present in the metals and woods of instruments; however, recent studies indicate that ACD, as an occupational skin disease, is a rare diagnosis in musicians. 7 Large scale epidemiological studies are required to learn if multiple sensitizations are frequent among musicians and which allergens pose the highest risks and in which instruments. Musicians, instrument manufacturers, and physicians may consider measures to identify and avoid frequent allergens.…”

Kontaktallergien – Neu aufkommende Allergene und Auswirkungen für das Gesundheitswesen

“…Musikinstrumente bestehen oft aus exotischen Hölzern und können bei Berufsmusikern eine entsprechende ACD auslösen, dies gilt z. B. für Palisander [297] und afrikanisches Schwarzholz ( Dalbergia melanoxylon Guill. Perr.)…”