Epidemiological case‐control study on contact sensitisation in female foot care specialists with occupational contact dermatitis: Patch test data of the Information Network of Departments of Dermatology (IVDK), 2008 to 2022

Author:

Brans Richard12ORCID,Schröder‐Kraft Claudia3,Gina Michal4ORCID,Heratizadeh Annice5ORCID,Weisshaar Elke6ORCID,Bauer Andrea7ORCID,Strom Kerstin8,Skudlik Christoph123ORCID,Schubert Steffen9ORCID,

Affiliation:

1. Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) Osnabrück University Osnabrück Germany

2. Department of Dermatology, Environmental Medicine and Health Theory Osnabrück University Osnabrück Germany

3. Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) BG Klinikum Hamburg Hamburg Germany

4. Institute for Prevention and Occupational Medicine of the German Social Accident Insurance (IPA) Institute of the Ruhr University Bochum Bochum Germany

5. Department of Dermatology and Allergy Hannover Medical School Hannover Germany

6. Division of Occupational Dermatology, Department of Dermatology University Hospital Heidelberg, Ruprecht Karls University Heidelberg Heidelberg Germany

7. Department of Dermatology University Allergy Center, University Hospital Carl Gustav Carus, Technical University Dresden Dresden Germany

8. BG Klinik für Berufskrankheiten Bad Reichenhall gGmbH Bad Reichenhall Germany

9. Information Network of Departments of Dermatology (IVDK) Institute at the University Medical Center Göttingen Göttingen Germany

Abstract

AbstractBackgroundMainly women work as foot care specialists (FCS). They are at risk to develop occupational dermatitis (OD).ObjectivesThe objective of this study is to describe the contact sensitisation pattern of female FCS with OD.MethodsIn 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.ResultsHand 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.ConclusionsFCS should be aware of the OD risk and prevention should be promoted.

Publisher

Wiley

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