Contact Dermatitis Of Hands Research Articles

The covid-19 pandemic led to an upsurge of irritant contact hand dermatitis

The COVID-19 Pandemic has brought about a transition in hand hygiene practices since the disease has no cure. WHO recommends frequent hand washing for at least 20 seconds each time or the use of alcohol-based hand rubs to prevent infection. This change has led to a variety of skin changes over hands including dryness, redness, irritation, etc. Dermatitis is a medical term for skin inflammation (irritation). Contact dermatitis is an allergic or irritant reaction that causes a painful or itchy skin rash. Frequent use of hand hygiene products, particularly soaps, and other detergents, is one of the leading causes of irritant contact dermatitis among health workers in this Covid pandemic era. : To know the impact of change in hand hygiene practices after the start of the COVID-19 pandemic, an online survey was conducted using google forms. Participants included only medical students and professionals aged 18 and above till 35 years. Informed consent was obtained from all individual participants included in the study. Information was recorded and analyzed.: The study included a total of 151 participants including medical students and professionals out of which 71 (47%) were male, 79(53%), and female, all aged between 18-35 years. 136 (90.1%) of the total participants agreed with an increase in hand hygiene practices brought about by the pandemic, using various means for the same including soap, alcohol-based gels, rubs, and wipes. 51 participants (33.8 %) noticed explicit changes in the skin of their hands after the switch in their respective hand hygiene practices.: This study highlights the changes in hand hygiene practices due to the pandemic and the prevalence of dermatitis due to the same in medical students and professionals. The study will highlight the awareness about the prevention of skin changes in hand due to frequent sanitation and the need to seek a dermatologist if and when required

Effectiveness of a Skin Care Program With a Cream Containing Ceramide C and a Personalized Training for Secondary Prevention of Hand Contact Dermatitis.

Background/Objectives: The aim of our study was to investigate the effectiveness of personalized training on skin protection associated with the regular use of ceramide-containing cream (CC) versus other creams (OC) for improving hand contact dermatitis. Methods: We performed a double-center randomized trial that enrolled workers with hand dermatitis. All workers received personalized training. The intervention was 3 times per day application of the study emollient. The control arm used an emollient of choice without ceramide, as needed. The primary outcome was improvement in hand dermatitis at 1 and 3 months of follow-up. Results: In total, 102 patients with hand dermatitis were enrolled in this study. Improvement in dermatitis was found in 40%, 52.5%, 50%, and 63% of OC and CC, at the first and second follow-ups, respectively. The use of CC was significantly associated with an improvement in dermatitis (odds ratios 2.6; 95% confidence intervals 1.30-5.2), analyzed using generalized equation estimation during the follow-up. Conclusion: Our study demonstrated that an educational personalized intervention could improve the signs and symptoms in patients with hand dermatitis, and the use of a CC resulted in a significantly better outcome during the 3 months of follow-up.

Photographic Evidence of Management of Allergic Contact Dermatitis with Graphites 30C - A Case Report

One of the major occupational risks for people working in the construction or cement industries is allergic contact dermatitis, which frequently affects the workers' quality of life and results in significant financial loss. The hands of cement workers come into touch with cement on a frequent basis, making them susceptible to developing hand contact dermatitis again and making a full recovery exceedingly challenging. The contact dermatitis in homoeopathy has been the subject of numerous prior researches. This case study demonstrated the effectiveness of the homoeopathic drug Graphites 30C on allergic contact dermatitis, with slow improvement at first and full recovery at the end.

Prevalence of Occupational Contact Dermatitis and its related Factors among Surgical Technologists in Five Educational Centers of Mazandaran University of Medical Sciences

Introduction: Occupational skin diseases and hand contact dermatitis specifically are among the most common occupational diseases among the healthcare workers. Since surgical technologists have contact with allergens and irritant substances are more susceptible to hand contact dermatitis. Thus, the aim of this study was to evaluate the prevalence of occupational hand contact dermatitis and effective factors among surgical technologists in five educational centers affiliated to Mazandaran University of Medical Sciences.
 Methods: The present cross-sectional study was conducted over 125 surgical technologists working in the hospitals affiliated with Mazandaran University of Medical Sciences who were selected via census sampling. Later, 97 participants who met the inclusion criteria were investigated. Data were collected by Nordic Occupational Skin questionnaire (NOSQ-2002) through interview and analyzed by SPSS software version 23.
 Results: The findings indicated that 68% of the examined technologists were female and 57.7% were over 37 years old. The prevalence of hand dermatitis was 45.4% (44 people). The highest prevalence was observed at the back of hands (24.7%) and between fingers (17.5%). Contact hand dermatitis had a significant correlation with the participants’ gender (p = 0.002), work experience (p = 0.028), and frequency of hand washes (p = 0.021). Moreover, having a history of eczema and allergy (P-Value≤ 0.01) was significantly effective in increasing hand contact dermatitis.
 Conclusion: The prevalence of hand contact dermatitis is high among surgical technologists. Therefore, hospital managers are required to plan for preventive measures and control the current situation. Furthermore, future researchers are recommended to carry out more studies on allergic dermatitis.

PREVALENCE OF OCCUPATIONAL HAND CONTACT DERMATITIS AND ITS ASSOCIATED FACTORS AMONG STAFF NURSES OF A PUBLIC HOSPITAL IN SELANGOR

https://doi.org/10.32827/ijphcs.6.1.118Background: Introduction Occupational contact dermatitis is the commonest occupational skin disease and hands are affected the most. Among healthcare workers, nurses have the highest prevalence of occupational hand contact dermatitis (OHCD). Prevalence of OHCD varies between countries and it shows an increasing trend. OHCD can cause economically burden to a country, reduce the quality of life of a nurse and increase the risk of cross infection. The aim of this study was to identify the prevalence factors associates with OHCD.Materials and Methods: A cross-sectional study was conducted among 206 staff nurses of Hospital Selayang who full filled inclusion and exclusion criteria Data was collected 7 May 2018 till 1 June 2018 using validated data questionnaire. Pre-test of the self- administered questionnaire was conducted among 50 staff nurses. Data was analysed using IBM Statistical Package for Social Science (SPSS) version 23.0 involving descriptive and inferential statistics.Result: The response rate was 100%. A 12-month prevalence of OHCD among staff nurses of Hospital Selayang was 26.2%. Hours of wearing glove, skin symptoms with gloves, skin symptom with hand washing liquid or soap, eczema history and allergy history to any substances were found associated with OHCD.Conclusion: OHCD showed to be a problem among staff nurses at the study location with a prevalence of 26.2%. Further intervention should be taken to prevent OHCD among staff nurses.Keywords: Occupational skin disease, hand contact dermatitis, nurse

Self-reported hand contact dermatitis among female hairdressers in Basrah

Self-reported hand contact dermatitis among female hairdressers in Basrah

Allergic Contact Dermatitis Caused by Homemade Slime

Abstract Nowadays, allergic reactions in children are seen in dermatological practice on a daily basis. The most common reasons for allergic contact dermatitis (ACD) are piercings, temporary tattoos, a wide range of cosmetic products, substances related to the practice of a variety of hobbies and sports, etc. Slime is a new hobby and has become an obsession for some kids. There are many homemade slime recipes. The most common recipe for slime is glue, borax and food coloring for all kinds of rainbow effects. We present a case of an 11-year-old Caucasian girl with hand contact dermatitis caused by an allergic reaction to Slime.

Occupational Hand Eczema among Cement users in Nepal

Background: Occupational dermatitis among cement workers is a major occupational health concern and skin contact with cement has been associated with contact dermatitis, which ranges from cement burns to cumulative irritant contact dermatitis. Objective: The objective of this study was to investigate the prevalence and severity of occupational cement contact dermatitis amongst cement workers in Nepal which is the first of its kind. Methods: A cross sectional descriptive study amongst patients in construction site and hardware shops within the Kathmandu valley were selected. A structured questionnaire was used to evaluate the demographic data and work-related activities of these cement workers. A complete skin examination was conducted and skin manifestations were assessed by a dermatologist. The data collected was compiled and appropriate statistical tools was used to find out the significance of variables. Result: Out of the total number of workers screened 164/377 (43.50%) had hand contact dermatitis. There were males 148(90.2%) and females16 (9.8%) and the age ranged from 15-51 years ( mean 27.41± 7.68 years).The duration of the disease ranged from 1-360 months (median 36months (IQR=60).The most common site of lesion was palms (62.8%) followed by tip of the fingers in 39.0% patients and the most common morphology of the lesion was erythema seen in 59.1% followed by scaling seen in 51.8 % patients. Conclusion: The issue of contact and irritant hand eczema amongst cement workers in Nepal has had a considerable morbidity. Identification of these patients with adequate treatment, test of the suspected allergens and counseling could further help the patients involved.

Occupational Dermatitis Caused by Vulcanization Accelerator of Gloves

Three cases of occupational dermatitis due to additives to rubber gloves are discussed. These cases were not a result of latex allergy and their dermatitis caused by vulcanization accelerator in rubber gloves. Most people have heard of latex allergy, and some people avoid the use of latex products. However, some rubber-related contact dermatitis of hands is caused by additives such as vulcanization accelerators, which are an essential additive for the production of rubber gloves. Our patients have used rubber, plastic or leather gloves for working, and the results of patch testing (using ICDRG criteria) showed positive reaction against vulcanization accelerators that were used in their gloves.

Pizza makers' contact dermatitis.

Contact eczema to foods, spices, and food additives can occur in occupational and nonoccupational settings in those who grow, handle, prepare, or cook food. Pizza is one of the most eaten foods in every continent, and pizza making is a common work in many countries. We aimed to evaluate the occurrence and the causes of contact dermatitis in pizza makers in Naples. We performed an observational study in 45 pizza makers: all the enrolled subjects had to answer a questionnaire designed to detect personal history of respiratory or cutaneous allergy, atopy; work characteristics and timing were also investigated. Every subject attended the dermatology clinic for a complete skin examination, and when needed, patients were patch tested using the Italian baseline series of haptens integrated with an arbitrary pizza makers series. Our results reported that 13.3% of the enrolled pizza makers (6/45) presented hand eczema, and that 8.9% (4/45) were affected by occupational allergic contact dermatitis. Diallyl disulfide and ammonium persulfate were the responsible substances. Performing patch tests in pizza makers and food handlers affected by hand contact dermatitis is useful. We propose a specific series of haptens for this wide working category.

Allergic diseases of the skin and drug allergies – 2005. Common causes of allergic contact dermatitis in Kuwait

This article was originally published online on 23 April 2013 Allergic contact dermatitis is caused by a variety of reagents. We looked into the eliciting reagents causing allergic contact dermatitis among patients referred to a skin allergy clinic in Kuwait. Total of 153 patients with contact dermatitis were enrolled. Each patient was patch tested using (TRUE Test). The patch was removed after 48 hours and read after 96 hours. A positive reaction was scored according to the standard scoring system recommended by the international group. Mean age was 39.9 (SD 13.84) years old. Females were 78 ( 51%). Majority were Kuwaiti patients 76.5%. Occupation enquiry showed that 57.5% of patients had a desk job, while 23.5% were housewives, and 11.8% were students. Hand contact dermatitis was the most common indicator 45.1% for testing, followed by body and eyelid dermatitis, and hair dye 20.9%, 7.2, and 7.2%% respectively. History of contact to jewels or perfumes was only 2.6% and 3.3% respectively. The test was positive to at least one allergen in 94 (61.4%), with 27.5% having a strong (++) positive reaction, and 33.3% having an extreme (+++) positive reaction. P-phenylendiamine was the leading contact allergen in 31 patients (20.3%), followed by Nickel sulphate in 15 patients (9.8%), Thiomersal in 11 patients (7.2%), Wool alcohols in 6 patients (3.9%), Potassium dichromate in 6 (3.6%), and Epoxy resin in 5 (3.3%). The nature of Allergens eliciting contact dermatitis in Kuwait is surprisingly similar to that of the western countries, in which hair dyes reagents and metals are a leading sensitize.

Contact Allergy to Disperse Red Dye: A New Sensitizer

Recently an increasing prevalence of contact allergy to dyes has been described, but the diagnosis often fails because of a lacking anamnesis and the absence of these allergens in most patch test standard series. Herein, we report the case of a male patient affected by an unusual hand contact dermatitis to disperse red dye.

Occupational allergic contact dermatitis caused by sterile non‐latex protective gloves: clinical investigation and chemical analyses

An increased frequency of occupational contact hand dermatitis among surgical operating theatre personnel has been noticed. To evaluate patients with occupational contact dermatitis caused by their rubber gloves, and to describe a method for analysing the content of the allergens in the gloves. Patch tests were performed with the baseline series, a rubber chemical series, and the patients' own gloves. A method for analysing 1,3-diphenylguanidine (DPG) and cetylpyridinium chloride in the gloves was developed. Contact allergy to thiuram mix was found in 8 of 16 patients, whereas 12 of 16 patients reacted to DPG. In 7 of 8 patients, contact allergy to cetylpyridinium chloride was found. In the patients' gloves, cetylpyridinium chloride and DPG were detected at higher concentrations on the inside of the gloves than on the outside. Most patients had worked for decades in their present occupations, but their hand dermatitis had only been present for months. Contact allergy to DPG in gloves has been disputed, but, in this study, we were able to confirm the presence of DPG and cetylpyridinium chloride in the causative gloves by using a modified method for the analysis. The presence of these chemicals in gloves caused an increase in occupational contact dermatitis in surgical operating theatre personnel.

Occupational hand dermatitis among cement workers in Taiwan

Occupational dermatitis among cement workers is a major occupational health concern. The two most important occupational hazards for cement workers are irritant and allergic cement contact dermatitis. The objective of this study was to investigate the severity of occupational cement contact dermatitis and the common allergens among cement workers in Taiwan. A total of 97 cement workers from the Cement Workers' Association of Tainan City and County participated in this study. A structured questionnaire was used to evaluate the demographic data and work-related activities of these cement workers. A complete skin examination was conducted, and skin manifestations were assessed by a dermatologist. Allergens from European Standard Tray (Chemotechnique Diagnostic AB, Sweden) with a total of 25 substances were used for patch testing. Our results showed that 65 out of 97 cement workers were suffering from occupational cement hand contact dermatitis. The most affected skin area was the hand. Thickening of the dorsal surface of the hand, especially around the metacarpophalangeal joint area, and hyperkeratosis of the palm were the major skin manifestations. The results of the patch test showed that 24 out of 97 were allergic to potassium dichromate, nine were allergic to thiuram mix, nine were allergic to fragrance mix and seven were allergic to cobalt chloride. The final diagnosis, based on the results of the skin examination and the patch test, showed that 43 of 97 cement workers had irritant cement contact dermatitis and 22 had allergic cement contact dermatitis. We conclude that occupational cement hand dermatitis among cement workers is an important and severe issue in Taiwan, and the most common allergens among cement workers are potassium dichromate, thiuram mix, fragrance mix and cobalt chloride. The high positive rate of chromium hypersensitivity among cement workers reflects the urgency to regulate the addition of ferrous sulfate to cement in Taiwan.

The Pattern of Allergic Contact Hand Dermatitis at a Tertiary Skin Clinic in Sarawak, Malaysia

The Pattern of Allergic Contact Hand Dermatitis at a Tertiary Skin Clinic in Sarawak, Malaysia

Occupational allergic contact dermatitis from tetrazepam in nurses

Tetrazepam is a muscle relaxant belonging to the benzodiazepine group. Drug eruptions following ingestion of tetrazepam tablets are well known. To draw the attention to occupational airborne dermatitis and/or hand dermatitis in nurses resulting from crushing of tablets for elderly or disabled people. Since 2003, 16 nurses with facial (eyelid) and/or hand dermatitis, suspected to be of occupational origin, were patch tested with the medication they handled during work. Ten nurses presented with a positive patch test reaction to tablets containing tetrazepam, 14 controls remaining negative. Some of them also reacted to other drugs. Occupational airborne and/or hand contact dermatitis from tetrazepam might be much more common than suspected by dermatologists, particularly in view of the short period in which all cases have been observed.

Hand dermatitis in primary care: A nurse practitioner's role in management

Discuss chronic hand contact dermatitis (CD) and its management by nurse practitioners (NPs) in primary care. Clinical studies, practice guideline, and clinic case. Hand CD is a common form of dermatitis in primary care. Recognition and avoidance of irritants and allergens, proper hand protection, and topical treatments can alleviate this chronic problem, significantly relieve symptoms, and promote skin health. A national shortage of dermatologists has caused more patients to seek treatment for skin disorders in primary care. NPs need to be prepared to diagnose and manage common skin problems in primary care.

Hand Dermatitis: Review of Etiology, Diagnosis, and Treatment

Hand dermatitis is a common condition seen in the primary care setting. Occupational exposures and frequent hand washing often lead to symptoms that are irritating and may cause discomfort. Irritant dermatitis, atopic hand dermatitis and contact hand dermatitis account for at least 70% of all diagnoses. A unifying feature in most cases is an underlying disruption in the stratum corneum, altering its barrier function. Transepidermal water loss increases with barrier disruption and is exacerbated by additional exposure to water. Precise diagnosis and subsequent treatment present a considerable challenge, and hand dermatitis often becomes chronic. Initial treatment should be aimed at controlling inflammation and restoring the skin's natural barrier. Common management recommendations include the avoidance of irritants and potential allergens along with the use of emollients and topical corticosteroids to decrease inflammation. Simple petroleum-based emollients are very effective at restoring hydration and repairing the stratum corneum. Referral to a Dermatologist or an Allergist may be necessary for patients who require patch testing or those with refractory symptoms.

Patch testing a patient with allergic contact hand dermatitis who is taking infliximab

We report the case of a patient who developed allergic contact hand dermatitis while receiving infliximab infusions for psoriasis and psoriatic arthritis. Patch testing showed multiple positive allergens. To our knowledge, this is the first case report of successful patch testing in a patient receiving tumor necrosis factor-alpha (TNF-alpha) blockade therapy. TNF-alpha blockers do not necessarily suppress allergic contact hypersensitivity and are not an absolute contraindication to patch testing.

Contact dermatitis of the hands: Cross-sectional analyses of North American Contact Dermatitis Group Data, 1994-2004

Hand dermatitis, including irritant and allergic contact dermatitis (ACD), is common. To evaluate allergens, relevant irritants, sources and occupations associated with hand contact dermatitis using North American Contact Dermatitis Group (NACDG) data. A cross-sectional analysis of 22,025 patients patch tested between 1994 and 2004. Hand involvement was found in 6953 patients; 959 had ACD as the only diagnosis. In these 959 patients, the 12 most frequent relevant allergens were quaternium-15 (16.5%), formaldehyde (13.0%), nickel sulfate (12.2%), fragrance mix (11.3%), thiuram mix (10.2%), balsam of Peru (9.6%), carba mix (7.8%), neomycin sulfate (7.7%), bacitracin (7.4%), methyldibromoglutaronitrile/phenoxyethanol 2.0% (7.4%), cobalt chloride (6.5%), and methyldibromoglutaronitrile/phenoxyethanol 2.5% (6.3%). Rubber allergens were most commonly associated with occupation. One third of patients with hand ACD had identifiable relevant irritants. Cross-sectional analyses prevent evaluation of causal associations. In NACDG patients with hand ACD, the most common allergens included preservatives, metals, fragrances, topical antibiotics, and rubber additives.