Long-term follow-up study of occupational hand eczema

Mälkönen, Tarja; Alanko, Kristiina; Jolanki, Riitta; Luukkonen, Ritva; Aalto‐Korte, Kristiina; Lauerma, Antti; Susitaival, Päivikki

doi:10.1111/j.1365-2133.2010.09987.x

Cited by 85 publications

(109 citation statements)

References 40 publications

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“…Risk factors for the continuation of dermatitis were a long duration of hand eczema before diagnosis, respiratory atopy, skin atopy, and continuation in the same job. 55 Discuss with patients the possibility that contact dermatitis may persist and require long term management, even after initial treatment and workplace modifications. 8 …”

Section: What Is the Prognosis?mentioning

confidence: 99%

Contact dermatitis

Rashid

Shim

2016

BMJ

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Contact dermatitis accounts for 70-90% of all occupational skin diseases. 1 It is an inflammatory skin condition induced by exposure to an external irritant or allergen (table 1⇓). A prevalence of 8.2% was seen in a recent cross sectional study of 12 377 subjects across five European countries, in which a randomly selected group of 3119 patients were patch tested. 2 The condition can have a detrimental impact on personal and social relationships, quality of life, and even threaten employment. [3][4][5] What are the different types of contact dermatitis?Irritant contact dermatitis is a non-immunologic response that occurs as a consequence of direct damage to the skin, by chemicals or physical agents, faster than the skin is able to repair itself. 6 7 Approximately 80% of cases of contact dermatitis are irritant contact dermatitis. 8 Common irritants include soaps, detergents, water, solvents, cutting oils, and food ingredients. 8 The hands, particularly finger web spaces (fig 1⇓), and the face are commonly affected. 6 Allergic contact dermatitis comprises 20% of cases of contact dermatitis. It is a type IV delayed hypersensitivity reaction to an external allergen, which occurs only in an individual who has previously been sensitised. 6 Re-exposure to the allergen results in circulating memory T cells homing in to the skin and eliciting an immunologic reaction that causes skin inflammation, typically within 48 hours. [9][10][11][12][13] For personal use only: See rights and reprints

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Section: What Is the Prognosis?mentioning

confidence: 99%

Contact dermatitis

Rashid

Shim

2016

BMJ

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“…There are several studies looking at the awareness and level of knowledge in CHE patients or in occupations with high risk for developing hand eczema (17)(18)(19)(20). A common approach of these studies is the use of questionnaires to investigate the level of perception of the disease as well as the knowledge of prevention in cohorts especially at risk, such as hairdressers (17) and health care workers (18,19).…”

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confidence: 99%

Chronic Hand Eczema: Perception and Knowledge in Non-affected Individuals from General and Dermatological Practice

Letulé¹,

Herzinger²,

Schirner³

et al. 2014

Acta Derm Venerol

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Misunderstanding and stigmatisation are common problems encountered by patients with hand eczema. Various misconceptions about the disease circulate in the general population. Although hand eczema has gained more attention in dermatology during the past years, information on public perception of the disease is still lacking. The aim of our study was to investigate perception of and level of knowledge on the subject hand eczema. There were 624 patients included from 2 general medicine practices and 2 dermatological practices. A self-administered questionnaire was filled out by the participants, covering issues on history of hand eczema, level of knowledge and attitude towards a clinical photograph of hand eczema. We found that a larger proportion of individuals from dermatological practice were more familiar with hand eczema as a disease than those from general medical practice. Women knew significantly more about and had a more positive perception of the disease than men. Our results imply that the level of knowledge on hand eczema in the general public is rather low and influenced by prejudice.

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“…A follow-up study over 15 years revealed a chronic disease course in 28% of hand eczema patients [4]. In patients with occupational hand eczema, only 28-40% reported total recovery [5,6]. Poor prognosis and persistence of hand eczema have been found to be correlated with severe initial disease and its duration before diagnosis [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…In patients with occupational hand eczema, only 28-40% reported total recovery [5,6]. Poor prognosis and persistence of hand eczema have been found to be correlated with severe initial disease and its duration before diagnosis [6,7]. In European countries, skin diseases are among the top three in the list of occupational diseases [8].…”

Section: Introductionmentioning

confidence: 99%

“…Sick leave due to hand eczema has been reported by 23-48% of patients [4,5]. Up to one third of patients is forced to change job or occupation, and one fourth, in particular elderly patients with occupational hand eczema, lose their job [6]. Moreover, hand eczema has a high impact on the patients' quality of life which is comparable with that of psoriasis [9].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Systematic Patient Education in Skin Care and Protection in a Hand Eczema Clinic

Corti

Stirnimann²,

Borradori³

et al. 2014

Dermatology

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Background: Hand eczema has a high impact on patients' quality of life. The treatment focuses on improving skin barrier function. Objectives: To evaluate the effects and acceptance of a novel educational program for patients with hand eczema. Methods: Retrospectively, the records of 36 patients who attended the prevention program and follow-up visits were analyzed. Physician global assessment (PGA) scores, acceptance and behavioral changes were assessed. Results: In 67% of patients, an improvement of the hand eczema could be attributed to the effects of our educational program. The mean PGA score significantly decreased from 3 before education to 2.2 during follow-up. Behavioral changes in both skin care and protection were reported in 81 and 86%, respectively. Conclusions: Our educational program had a positive effect on clinical outcome as well as adherence to skin care and protection measures. Its integration in a hand eczema clinic was feasible and well accepted by the patients.

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Long-term follow-up study of occupational hand eczema

Abstract: In the logistic model, risk factors for the continuation of OHE were a long duration of hand eczema before diagnosis, respiratory atopy, skin atopy, and continuation in the same occupation. Those who ended up changing occupation due to their OHE had a better medical and economic prognosis.

Cited by 85 publications

References 40 publications

Contact dermatitis

Contact dermatitis

Chronic Hand Eczema: Perception and Knowledge in Non-affected Individuals from General and Dermatological Practice

Effects of Systematic Patient Education in Skin Care and Protection in a Hand Eczema Clinic

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