Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Adhesives/Glues Top Allergens for Production Workers

Dermatitis; ePub 2017 Apr 7; Warshaw, Hagen, et al

Production workers (PWs) had a high rate of occupationally related skin disease, as well as irritant and allergic contact dermatitis, according to a recent study. Researchers conducted a retrospective, cross-sectional analysis of North American Contact Dermatitis Group data from 1998 to 2014. They found:

  • Of 39,332 patch-tested patients, 2,732 (7.0%) were PWs.
  • Among PWs, most were men (62.4%) and white (83.9%).
  • A history of childhood eczema was uncommon (11.3%).
  • Prevalent occupations included machine operators (27.3%); fabricators, assemblers, and hand-working occupations (16.8%); and precision metalworking occupations (16.1%).
  • The most frequent sites of dermatitis were the hands (53.8%) and arms (29.4%), which were significantly more commonly affected compared with non-PWs.
  • Occupationally related skin disease, allergic contact dermatitis, and irritant contact dermatitis were also significantly more common in PWs (49.9% vs 10.6%, 58.9% vs 53.7%, and 32.7% vs 25.7%, respectively).
  • The top allergen sources included adhesives/glues (16.0%), metalworking fluids/cutting oils (6.8%), and coatings (6.3%).

Warshaw EM, Hagen SL, DeKoven JG, et al. Occupational contact dermatitis in North American production workers referred for patch testing: Retrospective analysis of cross-sectional data from the North American Contact Dermatitis Group 1998 to 2014. [Published online ahead of print April 7, 2017]. Dermatitis. doi:10.1097/DER.0000000000000277.

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Must Reads in Contact Dermatitis

Patch-Test Reactions to Essential Oils Evaluated, Dermatitis; ePub 2017 Jun 13; Warshaw, et al

Ostomy Patients and Skin Complications Explored, Ostomy Wound Manage; 2017 May; Maydick-Youngberg

Isothiazolinone Allergy Epidemic in North America, Dermatitis; ePub 2017 May 1; Zirwas, et al

Adhesives/Glues Top Allergens for Production Workers, Dermatitis; ePub 2017 Apr 7; Warshaw, Hagen, et al

Contact Dermatitis Common Among Print Operators, Dermatitis; ePub 2017 Mar 23; Warshaw, et al