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Dyshidrotic eczema as an occupational dermatitis in metal workers
Author(s) -
Boer E. M.,
Bruynzeel D. P.,
Ketel W. G.
Publication year - 1988
Publication title -
contact dermatitis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.524
H-Index - 96
eISSN - 1600-0536
pISSN - 0105-1873
DOI - 10.1111/j.1600-0536.1988.tb02891.x
Subject(s) - hand eczema , dermatology , atopy , patch test , medicine , atopic dermatitis , allergic contact dermatitis , contact dermatitis , allergy , occupational exposure , cosmetics , immunology , environmental health , pathology
Metalworkers exposed to metalworking fluids often encounter dermatological problems. In an epidemiological study of 286 metalworkers, 14% had dermatitis. Of these, 21 (54%) presented with the clinical appearance of dyshidrotic eczema. 3 out of these 21 operators had positive patch test reactions. 1 to nickel and 2 to formaldehyde and formaldehyde releasers, while I other was diagnosed as atopic. According to the literature, dyshidrotic eczema is strongly related to an atopic constitution and to contact sensitization, especially to nickel. However, our findings suggest that dyshidrotic eczema in metalworkers is a predominantly irritant dermatitis, mainly induced by exposure to soluble oils and unrelated to atopy.