Hairdressers with dermatitis should always be patch tested regardless of atopy status

O’Connell, Rachel; White, Ian R.; Fadden, John P. Mc; White, Jonathan M. L.

doi:10.1111/j.1600-0536.2009.01696.x

Cited by 40 publications

(52 citation statements)

References 28 publications

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“…Therefore, we cannot assume that similar durations of exposure meant equal doses of exposure. Hairdressers carry out a variety of tasks and may not be continuously exposed to the same agents, especially with regard to potential allergens 5,9) . The ONAP study stated that hairdressing brings with it a higher risk of occupational asthma 4) , and in the present study, we found a definite impact of the hairdressers'jobs on their respiratory health, with significantly higher workplace exposure-induced respiratory symptoms in the self-employed group than in the wage-earning group.…”

Section: Discussionmentioning

confidence: 99%

“…Occupational hand contact dermatitis was defined as clinical eczema or irritative cutaneous diseases with work-related occurrence. In hairdressing, wet work from washing and handling damp hair results in exposure to surfactants that may lead to skin irritation 5) . Regarding musculoskeletal injuries, we focused (not only) on disorders in the upper body related to repetitive movements.…”

Section: Methodsmentioning

confidence: 99%

“…Hairdressers are extensively exposed to low air concentrations of chemicals liable to cause bronchoconstriction and airway obstruction. The main allergens are p-Phenylenediamine, permanent wave solution ingredients, such as ammonium thioglycolate, and glyceryl monothioglycolate, rubber accelerators, nickel, formaldehyde and bleaching powder 5,6) . Workplace exposure to these chemicals causes bronchial mucosal inflammation.…”

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confidence: 99%

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Health Assessment of Self‐employed Hairdressers in France

Deschamps

Langrand

Lesage

2014

Journal of Occupational Health

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Health Assessment of Self-employed Hairdressers in France: Frederic DESCHAMPS, et al. Occupational Disease Department University Hospital of Reims, France-Objective: Hairdressers have a high incidence of occupational diseases, owing to excessive wet work and exposure to chemical substances. The objective of this study was to assess the prevalence of occupational diseases in a population of self-employed hairdressers, matched for age and sex with a control group of wage-earning hairdressers. Method: A health questionnaire was administered to both groups by an occupational health practitioner. Results: Irritative skin diseases were reported by 1.5% of the self-employed hairdressers versus 9.1% of the wage earners. Conversely, the rates of respiratory diseases and cumulative musculoskeletal injuries were much higher among self-employed hairdressers. Conclusions: This study shows that the overall health of self-employed hairdressers is lower than that of their wage-earning counterparts. This can be attributed to several aspects of work exposure, organization, including longer working hours, fewer protective measures and the absence of preventive medicine in the workplace. (J Occup Health 2014; 56: 157-163)

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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confidence: 99%

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Health Assessment of Self‐employed Hairdressers in France

Deschamps

Langrand

Lesage

2014

Journal of Occupational Health

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“…Persuphates, ethanol and ammonia present in hair bleaches were associated with asthma and contact dermatitis in hairdressers [14,15,29]. In 2005, the UK's Health and Safety Executive reported that, the highest incidence of occupational skin diseases (98 per 100,000) was among hairdressers [31]. Also, hand eczema was higher among the Swedish hairdressers compared to the general population [26].…”

Section: Introductionmentioning

confidence: 97%

Occupational Respiratory and Musculoskeletal Symptoms among Egyptian Female Hairdressers

Hassan

Bayomy

2015

J Community Health

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Hairdressing is associated with exposure to a variety of harmful agents which have been linked to respiratory and musculoskeletal disorders in hairdressers. This study aimed to identify respiratory and musculoskeletal disorders in hairdressers compared to office workers. A cross-sectional study was conducted on 80 female hairdressers and 50 matched controls. A structured questionnaire was used to collect information on personal and occupational data, hairdressing activities, the presence of respiratory symptoms and the prevalence of musculoskeletal pain in the past 12 months. Reported symptoms were compared between hairdressers and controls. The associations between self-reported symptoms and hairdressing activities were investigated. Hairdressers were more likely to report symptoms than controls particularly for those who were older, with higher body mass index and longer duration of work as hairdresser. There were significant associations between frequent hair treatments (bleaching, dye and wave) and hand dermatitis (P < 0.001), running nose (P < 0.05), eye irritation (P < 0.01) and phlegm (P < 0.05). Elbow pain and shoulder and back pain were the most prevalent musculoskeletal pains in the past 12 months (13.8 and 12.5% respectively), back and knee pains were the most frequent chronic pain (7.5%), hand and wrist pain led 12.5% of hairdressers to visit a doctor and shoulder pain and back pain indicated a period of sickness absence in 13.8% of hairdressers. Musculoskeletal disorders were associated with manual handling, prolonged standing, strenuous shoulder movements and awkward body posture. Hairdressing is associated with increased risk to respiratory and musculoskeletal disorders due to adverse work conditions.

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“…Krecisz et al revealed that nickel was the most frequently sensitizing skin allergen in the hairdresser apprentices group. It is thought to be rather non-occupational sensitization, resulting from skin exposure to metal objects, such as jewellery, clothing accessories and particularly from piercing [17], however the release of nickel ions from nickel-containing tools exposed to thioglycolic acid in permanent wave solutions may also contribute to the high prevalence of sensitization in this professional group [18].…”

Section: Discussionmentioning

confidence: 99%

Sensitization to occupational allergens in hairdressing apprentices diagnosed already before entering vocational training

Golińska-Zach

Krawczyk-Szulc

Wiszniewska

et al. 2016

Med Pr

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Background: Hairdressers are occupationally exposed to many allergenic and irritating substances. Additionally, hairdressing apprentices are exposed to the same allergens as professional hairdressers, due to the fact that vocational training starts in the beginning of the education. This study was undertaken to investigate early occurrence of sensitization to occupational allergens in hairdressing apprentices before the onset of the vocational training. Material and Methods: Three hundred and seven hairdressing apprentices were assessed using a questionnaire and skin prick tests (SPTs) to common and occupational allergens. The level of total and serum specific immunoglobulin E (IgE) to occupational allergens was evaluated and spirometry was performed. Results: At least one skin and/or respiratory and/or conjunctival symptom was reported by 29.9% of subjects. Among subjects with at least one symptom, 28.2% of them were atopic whereas among 43.4% of them total IgE level was elevated. Atopy was found in 20% cases. In the case of one apprentice, positive SPT for paraphenylenediamine was found. Nearly 33% of apprentices had elevated total IgE level and 5 of them had specific IgE for occupational allergens. Conclusions: The study revealed that hairdressing apprentices might be sensitized to occupational allergens even before the beginning of vocational training, due to prior non-professional exposure to hairdressing agents. Furthermore, many of them report skin, respiratory and conjunctival symptoms, often connected with chronic disease diagnosis. Thus, candidates for hairdressers should be examined thoroughly before the start of the education and tests for allergy to hairdressing substances are indicated. Med Pr 2016;67(5):567-575

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Hairdressers with dermatitis should always be patch tested regardless of atopy status

Abstract: We present findings from the largest cohort of hairdressers patch tested from a single centre. It is necessary to patch test hairdressers with dermatitis, regardless of a history of atopy. Strategies to reduce prevalence of allergic contact dermatitis are required.

Cited by 40 publications

References 28 publications

Health Assessment of Self‐employed Hairdressers in France

Health Assessment of Self‐employed Hairdressers in France

Occupational Respiratory and Musculoskeletal Symptoms among Egyptian Female Hairdressers

Sensitization to occupational allergens in hairdressing apprentices diagnosed already before entering vocational training

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