Hand eczema in Finnish farmers

Susitaival, Päivikki; Husman, Liisa; Hollmén, A; Horsmanheimo, Maija; Husman, Kaj; Hannuksela, Matti

doi:10.1111/j.1600-0536.1995.tb00805.x

Cited by 43 publications

(3 citation statements)

References 17 publications

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“…This question was included as a variable to analyze the independent effect of cortisol on vocal symptoms while taking exhaustion into account. The question has been used in previous studies (Holmqvist et al, 2013) as a measure of stress and followed the guidelines of the Tuohilampi Questionnaire (Susitaival & Husman, 1997) a pool of questions and question sets for epidemiologic studies designed for the Finnish Institute of Occupational Health.…”

Section: Instrumentsmentioning

confidence: 99%

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Holmqvist-Jämsén

Johansson

Santtila

et al. 2017

J Speech Lang Hear Res

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Purpose: We investigated whether participants who reported more often occurring vocal symptoms showed higher salivary cortisol levels and if such possible associations were different for men and women. Method:The participants (N = 170; men n = 49, women n = 121) consisted of a populationbased sample of Finnish twins born between 1961 and 1989. The participants submitted saliva samples for hormone analysis and completed a web-questionnaire including questions regarding the occurrence of six vocal symptoms during the past 12 months. The data were analyzed using the Generalized Estimated Equations (GEE) method.Results: A composite variable of the vocal symptoms showed a significant positive association with salivary cortisol levels (p < .001). Three of the six vocal symptoms were significantly associated with the level of cortisol when analyzed separately (p-values below .05). The results showed no gender difference regarding the effect of salivary cortisol on vocal symptoms. Conclusions:There was a positive association between the occurrence of vocal symptoms and salivary cortisol levels. Participants with higher cortisol levels reported more often occurring vocal symptoms. This could have a connection to the influence of stress on vocal symptoms since stress is a known risk factor of vocal symptoms and salivary cortisol can be seen as a biomarker for stress.

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Section: Instrumentsmentioning

confidence: 99%

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Holmqvist-Jämsén

Johansson

Santtila

et al. 2017

J Speech Lang Hear Res

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“…In our study, the participants were HCWs, suggesting a higher level of medical knowledge than the general population. In validation studies based on farmers 24 and industrial workers, 5 the sensitivity of the self‐reported HE was markedly lower compared to a study comprising nurses only. 4 In accordance, we found a higher sensitivity of ≥2 signs and itch in physicians and nurses as compared to other professions, for example, auxiliary nurses and biotechnicians, with lower educational levels.…”

Section: Discussionmentioning

confidence: 81%

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

et al. 2022

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Background: The accuracy of self-reported hand eczema (HE) is currently unclear, and it is unknown how well self-reported signs and symptoms of skin lesions that indicate HE correlate with self-reported HE.Objectives: To correlate self-reported signs and symptoms of skin lesions on the hands with self-reported HE, to assess the sensitivity and specificity, and to suggest a definition for HE.Method: Seven hundred ninety-five (47.8%) of 1663 invited healthcare workers completed a digital questionnaire, and were asked to report if they experienced HE or any of the following skin signs/symptoms in past 11 months: scaling, erythema, fissures, vesicles, dryness, itch, stinging.Results: HE during the past 11 months was reported by 11.9%. Of these, 91.4% reported at least one skin sign versus 32.3% of those without self-reported HE. The highest sensitivity and specificity were found for erythema (77.4% and 78.2%, respectively) and itch (78.5% and 78.6%, respectively), both separately and combined.The combination of ≥2 signs (erythema, scaling, fissures and vesicles) and itch, reached a sensitivity of 52.7% and specificity of 93.9%. Conclusion:The marked difference between self-reported HE and signs/symptoms highlights the importance of differentiating between data based on self-reported HE and signs/symptoms. As a first step towards diagnostic HE criteria, ≥2 signs combined with itch could be considered, but clinical studies are needed to verify the precision.

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“…Development of immediate-type, IgE-mediated allergy to animal proteins is a common occurrence in persons occupationally exposed to animals, reactions manifesting as ocular, respiratory and cutaneous symptoms [1,2,3]. Asthma has been reported in zoo workers, veterinarians, laboratory personnel, animal farmers and hunters upon contact to cat, dog, rat, mouse, hamster, horse, cattle, pig, sheep, goat and deer [3,4,5].…”

Section: Introductionmentioning

confidence: 99%

Contact Urticaria to Giraffe Hair

Herzinger

Scharrer²,

Placzek³

et al. 2005

Int Arch Allergy Immunol

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Background: Immediate-type hypersensitivity to animal proteins is a common problem in people occupationally exposed to animals. Methods: A 19-year-old female working as a voluntary zookeeper in her off-time suffered from hives on her forearms following contact to the fur of a giraffe. For diagnostic evaluation, skin prick tests, assessment of specific serum IgE antibodies, and basophil activation tests were performed. Results: Skin prick tests with a standard series of common aeroallergens were positive for various pollens. Prick testing with native materials was positive for extracts of hair from two different giraffe subspecies in the patient, but not in control subjects. By CAP-FEIA, no specific serum IgE antibodies to dander of a large variety of animals were found in the patient. In the basophil activation test, expression of the activation marker CD63 was induced by extract of giraffe hair on the cells from the patient, but not on those from unaffected controls. Conclusions: This patient suffers from an ‘exotic’ immediate-type contact allergy to giraffe hair.

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Hand eczema in Finnish farmers

Cited by 43 publications

References 17 publications

Investigating the Role of Salivary Cortisol on Vocal Symptoms

Investigating the Role of Salivary Cortisol on Vocal Symptoms

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

Contact Urticaria to Giraffe Hair

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