背景:主要是女性的足部护理专家(FCS)。他们有发展职业性皮炎(OD)的风险。
目的:本研究的目的是描述女性FCS伴OD的接触致敏模式。
方法:在一项回顾性研究中,分析了2008年至2022年皮肤科网络(IVDK)收集的斑贴试验和临床数据。将116例有OD的女性FCS的数据与在其他行业工作的13930例有OD的女性患者和78612例无OD的女性患者的数据进行了比较。
结果:与其他有或没有OD的女性患者相比,有OD的女性FCS中手部皮炎(93.1%)明显更常见,面部皮炎(0.9%)明显更不常见。常见的疑似过敏原来源是消毒剂,手套,免洗和美甲化妆品。闭塞和湿润是重要的共同因素。最常见的诊断是刺激性接触性皮炎(26.7%)和过敏性接触性皮炎(21.6%)。与两个对照组相比,在具有OD的女性FCS中,对任何基线系列变应原的致敏率明显更高。然而,对FCS大量暴露的过敏原致敏,包括香水,防腐剂,橡胶成分和消毒剂,是最常见的。
结论:FCS应意识到OD风险,应加强预防。
BACKGROUND: Mainly women work as foot care specialists (FCS). They are at risk to develop occupational dermatitis (OD).
OBJECTIVE: The objective of this study is to describe the contact sensitisation pattern of female FCS with OD.
METHODS: In a retrospective study, patch test and clinical data collected by the Network of Departments of Dermatology (IVDK) from 2008 to 2022 were analysed. Data of 116 female FCS with OD were compared with data of 13 930 female patients with OD working in other professions and 78 612 female patients without OD.
RESULTS: Hand dermatitis (93.1%) was significantly more common and face dermatitis (0.9%) significantly less common in female FCS with OD compared to other female patients with or without OD. Frequent suspected allergen sources were disinfectants, gloves, leave-on and nail cosmetics. Occlusion and wetness were important co-factors. The most common diagnoses were irritant contact dermatitis (26.7%) and allergic contact dermatitis (21.6%). No sensitisation to any of the baseline series allergens was significantly more frequent in female FCS with OD than in the two control groups. However, sensitisations to allergens which FCS are abundantly exposed to, including fragrances, preservatives, rubber ingredients and disinfectants, were most common.
CONCLUSIONS: FCS should be aware of the OD risk and prevention should be promoted.