TY - JOUR
T1 - Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing
T2 - Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014
AU - Warshaw, Erin M.
AU - Hagen, Solveig L.
AU - Sasseville, Denis
AU - Maibach, Howard I.
AU - DeKoven, Joel G.
AU - Belsito, Donald V.
AU - Fowler, Joseph F.
AU - Zug, Kathryn A.
AU - Taylor, James S.
AU - Mathias, C. G.Toby
AU - Fransway, Anthony F.
AU - Deleo, Vincent A.
AU - Marks, James G.
AU - Pratt, Melanie D.
AU - Zirwas, Matthew J.
AU - Storrs, Frances J.
N1 - Publisher Copyright:
© 2016 American Contact Dermatitis Society. All Rights Reserved.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Background: Contact dermatoses are common in mechanic and repair occupations. Objectives: This study aimed to (1) estimate the prevalence of occupationally related contact dermatitis among mechanics/repairers patch tested from 1998 to 2014 by the North American Contact Dermatitis Group, (2) characterize responsible allergens and irritants, and their sources, and (3) compare results among 3 occupational subgroups (mechanics, electrical/electronic, and other). Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1998 and 2014. Results: Of 38,784 patients patch tested, 691 (1.8%) were mechanics/repairers. Male sex (93.5%) and hand involvement (59.5%) were common overall. Occupationally related skin disease was more prevalent among vehicle and mobile equipment mechanics/repairers (52.7%) and other mechanics/repairers (41.4%) than electrical/electronic equipment mechanics/repairers (21.3%). Overall, carba mix, thiuram mix, and methylchloroisothiazolone/methylisothiazolone were the most common occupation-related clinically relevant allergens. Gloves, automotive vehicles, solvents, oils, lubricants, and fuels were the most common sources of responsible allergens. Conclusions: Common occupationally related allergens included rubber accelerators and the preservative methylchloroisothiazolone/methylisothiazolone.
AB - Background: Contact dermatoses are common in mechanic and repair occupations. Objectives: This study aimed to (1) estimate the prevalence of occupationally related contact dermatitis among mechanics/repairers patch tested from 1998 to 2014 by the North American Contact Dermatitis Group, (2) characterize responsible allergens and irritants, and their sources, and (3) compare results among 3 occupational subgroups (mechanics, electrical/electronic, and other). Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1998 and 2014. Results: Of 38,784 patients patch tested, 691 (1.8%) were mechanics/repairers. Male sex (93.5%) and hand involvement (59.5%) were common overall. Occupationally related skin disease was more prevalent among vehicle and mobile equipment mechanics/repairers (52.7%) and other mechanics/repairers (41.4%) than electrical/electronic equipment mechanics/repairers (21.3%). Overall, carba mix, thiuram mix, and methylchloroisothiazolone/methylisothiazolone were the most common occupation-related clinically relevant allergens. Gloves, automotive vehicles, solvents, oils, lubricants, and fuels were the most common sources of responsible allergens. Conclusions: Common occupationally related allergens included rubber accelerators and the preservative methylchloroisothiazolone/methylisothiazolone.
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U2 - 10.1097/DER.0000000000000231
DO - 10.1097/DER.0000000000000231
M3 - Article
C2 - 27775971
AN - SCOPUS:85009997162
SN - 1710-3568
VL - 28
SP - 47
EP - 57
JO - Dermatitis : contact, atopic, occupational, drug
JF - Dermatitis : contact, atopic, occupational, drug
IS - 1
ER -