Extended documentation for hand dermatitis patients: Pilot study on irritant exposures

Wolfgang Uter, Andrea Bauer, Lynda Bensefa-Colas, Richard Brans, Marie Noëlle Crépy, Ana Giménez-Arnau, Francesca Larese Filon, Suzana Ljubojević Hadžavdić, Maria Pesonen, Marie L. Schuttelaar, Mark Wilkinson, Carola Lidén

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    Abstract

    © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd Background: Irritant exposure may be a contributory cause or the sole cause of (occupational) hand dermatitis. However, the documentation of irritant exposures in clinical practice is not standardized. Objectives: To examine the feasibility and usefulness of a form with different items addressing both occupational and non-occupational irritant exposures in a semiquantitative way. Methods: Between May 2016 and May 2017, successive patients with work-related hand dermatitis, irrespective of aetiology, were examined in 9 specialized European departments. Department-specific investigation was supplemented with the above proforma. The results were recorded by use of an anonymized secured online documentation system in a pilot study. Results: Altogether, 193 patients were included; 114 females and 79 males, with a mean age of 40 years (range 18–68 years). The most common occupational group comprised healthcare workers (n = 35); occupational exposure of the hands to gloves, dusts and water without detergents of >2 hours/day was seen in 54.5%, 24.4% and 24.3% of patients, respectively. Non-occupational exposures rarely exceeded 2 hours/day. Conclusions: It is hoped that the set of descriptors will offer a basis for (clinical) epidemiological studies assessing the role of irritant exposures in occupational hand dermatitis, and to support a high level of quality and consistency in daily patient care.
    Original languageEnglish
    Pages (from-to)168-174
    JournalContact Dermatitis
    Volume79
    Issue number3
    DOIs
    Publication statusPublished - 1 Sep 2018

    Keywords

    • contact dermatitis
    • epidemiology
    • exposure assessment
    • hand dermatitis
    • irritants
    • occupational skin disease

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    Uter, W., Bauer, A., Bensefa-Colas, L., Brans, R., Crépy, M. N., Giménez-Arnau, A., Larese Filon, F., Ljubojević Hadžavdić, S., Pesonen, M., Schuttelaar, M. L., Wilkinson, M., & Lidén, C. (2018). Extended documentation for hand dermatitis patients: Pilot study on irritant exposures. Contact Dermatitis, 79(3), 168-174. https://doi.org/10.1111/cod.13035