This handbook offers a comprehensive overview of the variety of skin issues that can arise while at work. It is meant to guide dermatologists, allergists, and industrial physicians in the successful diagnostic and management of the patients suffering from occupational skin dermatoses. It provides a look at the current modes of treatment available to practicing physicians while also offering updates on the most recent changes and advances for easy integration into practice. With an depth look at some of the more common diseases, like various urticaria and eczema as well as examining specific work places prone to exposure, this book will provide a quick and easy-to-use reference. Chapters contain patient photos and offer a multidisciplinary approach with special chapters on medical legal implications as well as exploring the minimum standards on prevention, diagnosis, and treatment as viewed worldwide.
Handbook of Occupational Dermatoses is a must-have resource for dermatologists, allergists, and primary care physicians that deal with these skin issues everyday.
Author(s): Ana M. Giménez-Arnau, Howard I. Maibach
Series: Updates in Clinical Dermatology
Publisher: Springer
Year: 2023
Language: English
Pages: 188
City: Cham
Contents
1: Occupational and Work-Related Dermatosis: Definition and Classification
Definition
Classification
Occupational Contact Dermatitis
Occupational Non-contact Dermatitis
Urticaria
Acne
Pressure- and Friction-Induced Disorders
Vibration-Associated Disorders
Foreign Body Granulomas
Pigmentary Disorders
Low Humidity-Induced Disorders
Heat-Associated Disorders
Cold-Associated Disorders
Skin Cancer
Infections
Conclusion
References
2: Epidemiology and Burden of Occupational Skin Diseases
Introduction
Occupational Contact Dermatitis (OCD)
Epidemiology
Burden
Non-Melanoma Skin Cancer (NMSC) Arising from Occupational Exposure to Solar Ultraviolet (UV) Radiation
Epidemiology
Burden
References
3: Occupational Dermatitis Due to Irritation and Allergic Sensitization
Introduction and Terminology
Occupational Irritant Contact Dermatitis
Clinical Features
Chemical Burns
Acute Irritant Contact Dermatitis
Chronic Irritant Contact Dermatitis
Irritant Reaction
Airborne Irritant Contact Dermatitis
Phototoxic contact dermatitis
Histopathological Features
Causative Factors
Exogenous Factors
Water and Chemicals
Physical Causes
Endogenous Factors
Diagnosis
Occupational Allergic Contact Dermatitis
Clinical Features
Acute Allergic Contact Dermatitis
Chronic Allergic Contact Dermatitis
Specific Patterns According to Localization
Hand Eczema
Airborne Allergic Contact Dermatitis
Photoallergic Contact Dermatitis
Non-Eczematous Reactions
Lichenoid Reactions
Lymphomatoid Contact Dermatitis
Histopathological Features
Causative Factors
Diagnosis
Differential Diagnosis
Conclusion
References
4: Occupational Contact Urticaria Syndrome
Introduction and Epidemiology
Contact Urticaria
Clinical Features
Pathophysiology
Protein Contact Dermatitis
Clinical Features
Pathophysiology
Diagnosis
Occupational Relevance
Responsible Agents of Occupational ICSR (Table 4.4)
Treatment and Prognostic
Conclusions
References
5: Occupational Skin Cancer by Solar Ultraviolet Radiation
Introduction
Outdoor Workers as High-Risk Group for Skin Cancer by Solar Ultraviolet Radiation (UVR)
Malignant Melanoma (MM)
Non-melanoma Skin Cancer (NMSC)
Prevention
Primary Prevention
Secondary Prevention
Tertiary Prevention
Challenges in Prevention
References
6: Occupational Skin Infections
Baker-Rosenbach’s Erysipeloid
Tuberculosis Verrucosa (Tuberculosis Verrucosa Cutis)
Fish Tank Granuloma (Mycobacterium marinum)
The Milker’s Nodule
Scabies
References
7: Identification of Occupational Dermatoses. The Role of the Occupational Physician and the Dermatologist
Occupational Dermatoses
Definitions
Spectrum of Occupational Skin Diseases
Legal Framework
Qualification
Practical Approach to Diagnosing, Treatment, and Prevention of Occupational Dermatoses
General Aspects in the Identification of Occupational Dermatoses
Principals of Diagnosis of Occupational Contact Dermatitis
Allergic Contact Dermatitis
Irritant Contact Dermatitis
Principals of Diagnosis of Contact Urticaria and Protein Contact Dermatitis
Diagnosis of UV-Related Occupational Skin Cancer
Assessment of Occupational Exposure
Treatment of Work-Related Skin Diseases and Occupational Skin Diseases
Principles of Prevention of Work-Related and Occupational Skin Diseases
Primary Prevention
Secondary Prevention
Tertiary Prevention
Emerging and Future Challenges
References
8: International Standards for Prevention of Occupational Dermatoses
Introduction
Scope of Preventive Measures
International Standards for Prevention
Primary Prevention
Recommendations for the Use of Protective Gloves
Accelerators-Free Gloves
Practical Recommendations for Proper Glove Use
Moisturizers
Secondary Prevention
Tertiary Prevention Measures
Conclusion
References
9: Diagnostic Methods of Eczema and Urticaria: Patch Test, Photopatch Test, and Prick Test
Patch Test
Background
Definition
Indications
Who Should Not Be Patch Tested?
Patient Information
Patch Test Procedure
Materials
Patch Test System
Allergens
Testing the Products Contacted by the Patients, Including Work-Environmental Products
Adhesive Tape
Location
Reading Time
Interpretation of Patch Test Results
Patch Test Relevance
False Positive Reactions
False Negative Reactions
Adverse Effects
Prognosis of Patch Testing
Photopatch Test
Background
Definition
Indications
Who Should Not Be Photopatch Tested?
Patient Information
Photopatch Test Procedure
Methodology
Materials
Photoallergens
Testing Patients’ Own Products
Methodology of Photopatch Testing
Interpretation of Photopatch Test
Skin Prick Test
Historical Aspects
Definition
Indications
Patient Information
SPT Procedure
Methodology
Allergens for SPT
Test Conditions
Reading Time
Interpretation of SPT
Adverse Reactions
References
10: Work-Related and Occupational Hand Eczema (OHE), Diagnosis and Treatment
Introduction
Epidemiology
Frequency and Burden of Disease
Risk Factors
Endogenous Risk Factors
Exogenous Risk Factors
Clinical Picture and Classification
Irritant Contact Dermatitis (ICD)
Allergic Contact Dermatitis (ACD)
Atopic Dermatitis (AD)
Contact Urticaria (CU)
Endogenous Forms
Diagnosis
Medical History
Clinical Examination and Supplementary Testing
Differential Diagnosis
Factors Influencing Prognosis for OHE: New Trends
Treatment
Standard Treatment
Detection and Removal of the Causative Agent
Astringent and Antisepsis Treatment
Anti-inflammatory Therapy
Reconstitution of the Skin Barrier
Emergency Trends or New Drug Therapy
Prevention
Occupational Hand Eczema in Time of COVID-19 (JPR)
Conclusion
References
11: Airborne Occupational Contact Dermatoses
Introduction
Epidemiology
Risk Factors
Pathophysiology and Clinical Features
Airborne Contact Urticaria
Airborne Contact Dermatitis
Airborne Irritant Contact Dermatitis
Airborne Allergic Contact Dermatitis
Common Allergens
Airborne Phototoxic/ Photoallergic Contact Dermatitis
Diagnosis
History
In Vitro Testing
In Vivo Testing
Management
References
12: Occupational Contact Dermatitis and Photodermatosis in the Agricultural Environment
Introduction
Contact Dermatitis (CD)
Contact Dermatitis by Pesticides
Contact Dermatitis by Plants and Flowers
Irritative Contact Dermatitis
Amaryllidaceae
Anacardiaceae
Asparagaceae
Cactaceae
Cannabinaceae
Euphorbiaceae
Allergic Contact Dermatitis (ACD)
Alliaceae
Alstroemeriaceae
Compositae
Liliacea
Primulaceae
Airborne Dermatitis
Contact Dermatitis due to Spices
Protein Contact Dermatitis (PCD)
Non-eczematous Reactions due to Contact with Plants
Wood Contact Dermatitis
Photodermatosis in the Primary Sector
Phytophotodermatosis: Phototoxicity
Dermatitis of the Meadows (Dermatitis Bullosa Pratensis of Oppenheim)
Berloque Dermatitis
Phytophotodermatosis: Photoallergy
Professional Cancer in the Agricultural Sector
Contact Dermatitis Diagnose
Prevention
Diagnose
Appendix 1 Standard Allergen Series
Sesquiterpenic Lactones Mix: 0.1% Pet
Compositae Mix: 5% or 2.5% Pet
Appendix 2 Websites of Interest
References
13: Occupational Contact Dermatitis in the Industrial Setting
Introduction
Industrial Jobs
Construction Industry
Fashion Industry
Chemical Industry
Pharmaceutical and Cosmetic Industries
Power and Petroleum Industry
Automotive Industry
Electronic Industry
Food Industry
Paper Industry
Prevention and Conclusions
References
14: Occupational Contact Dermatitis in the Service Sector
Sports
Water Sports
Athletes and Ball Sports
Winter Sports
Inducible Urticaria
Music
Stage Artists, Singers, and Dancers
Kitchen Workers [44]
Flight and Ground Staff
Military Personnel
Health Care Providers
Dental Professionals (Dentists, Orthodontists, Technicians, Nurses)
Veterinarians
Beauty Industry
Hairdressers
Hair Dyes
Persulfate Salts
Permanent Hair Waving Solutions (Thioglycolates and Cysteamine Hydrochloride)
Nail Beauticians [102]
Conclusions
References
15: Medicolegal Implications and the Importance of the Medical Report
The Concept of “Occupational Disease” in the Legal Sense
The Occupational Skin Disease No. 5101 According to German Law
Duty to Notify an Occupational Disease
The Dermatologist’s Procedure as an Early Intervention with the Intention to Prevent the Occurrence of an Occupational Skin Disease
The Occupational Skin Diseases No. 5102 and 5103 According to German Law
The Expert Opinion in Occupational Dermatology
Qualifications and Duties of the Occupational Dermatological Expert
The Preparation of an Occupational Dermatological Expert Opinion in Practice [5]
References
Index
