Occupational contact dermatitis: Retrospective analysis of North American Contact Dermatitis Group Data, 2001 to 2016

Patch testing is an important diagnostic tool for suspected allergic contact dermatitis (ACD) in occupational settings. Provide an overview of occupational skin disease (OSD) and an analysis of occupational ACD in North American patients undergoing patch testing between 2001and 2016. Patients with O...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2022-04, Vol.86 (4), p.782-790
Main Authors: DeKoven, Joel G., DeKoven, Benjamin M., Warshaw, Erin M., Mathias, C.G.T., Taylor, James S., Sasseville, Denis, Belsito, Donald V., Fowler, Joseph F., Pratt, Melanie D., Zug, Kathryn A., Maibach, Howard I., DeLeo, Vincent A., Silverberg, Jonathan I., Atwater, Amber R., Reeder, Margo J., Holness, D. Linn
Format: Article
Language:English
Subjects:
Allergens - adverse effects
allergic contact dermatitis
contact allergy
Dermatitis, Allergic Contact - diagnosis
Dermatitis, Allergic Contact - epidemiology
Dermatitis, Allergic Contact - etiology
Dermatitis, Irritant - diagnosis
Dermatitis, Irritant - epidemiology
Dermatitis, Irritant - etiology
Dermatitis, Occupational - diagnosis
Dermatitis, Occupational - epidemiology
Dermatitis, Occupational - etiology
Humans
North America - epidemiology
occupational
occupational allergic contact dermatitis
occupational irritant contact dermatitis
occupational skin disease
Patch Tests
Retrospective Studies
surveillance
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Summary:Patch testing is an important diagnostic tool for suspected allergic contact dermatitis (ACD) in occupational settings. Provide an overview of occupational skin disease (OSD) and an analysis of occupational ACD in North American patients undergoing patch testing between 2001and 2016. Patients with OSD were analyzed for frequency of allergic reactions to a screening series of allergens, occupational relevance, location of skin disease, and exposure sources. Demographic, occupation, and industry information were recorded. Of 38,614 patients evaluated, 4471 (11.6%) had OSD, of whom 3150 (70.5%) had ACD. The most common occupationally related allergens included rubber accelerators, preservatives, and bisphenol A epoxy resin. Hands (75.8%), arms (30.0%), and face (15.9%) were common sites of dermatitis. The occupations most affected were service workers and machine operators. Our cohort may not reflect the general working population. This study identified common occupational allergens, exposure sources, and occupations/industries at risk. This information may help the clinician evaluate and manage patients with occupational contact dermatitis.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2021.03.042