Structured diagnostic assessment of hand eczema in cleaning workers
| Autor: | Zita-Rose Manjaly Thomas, Kathrin Scherer Hofmeier, Karin Hartmann, Andreas J. Bircher, Esther Steveling-Klein, Dagmar Jamiolkowski |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Eczema Dermatology Allergens Patch Tests Wet work medicine.disease medicine.disease_cause 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Allergen Dermatitis Occupational Hand eczema Contact allergy Dermatitis Allergic Contact medicine Irritant contact dermatitis Diagnostic assessment Humans business Allergic contact dermatitis Contact dermatitis |
| Zdroj: | Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDGReferences. 19(5) |
| ISSN: | 1610-0387 |
| Popis: | Hand dermatitis is a widespread problem among cleaners. In most cases, it is caused by a combination of wet work and contact with irritants, which can result in irritant (toxic) contact dermatitis. In some cases, the irritant contact eczema then evolves into allergic contact dermatitis, although not all cases of allergic contact dermatitis are preceded by irritant contact dermatitis. This mini-review proposes a two-step diagnostic algorithm based on patch testing, which can be used if allergic contact dermatitis is suspected in cleaning workers. As a first step, we recommend performing the DKG standard series (German Contact allergy research group, DKG), the DKG rubber series, both DKG "further fragrances" series as well as the DKG preservative and disinfectant series. If there are clear hints of an occupational contact dermatitis, the first step can also involve testing patients' own products alongside the standardized tests. In a second step (at the latest), if standardized tests do not suffice to identify the culprit allergen and there is well-founded suspicion, we recommend testing the patients' own products. If necessary, the second step can also include testing the individual contact allergens contained in the screening mixes that are part of the standard series. |
| Databáze: | OpenAIRE |
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