Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014

Erin M. Warshaw, Solveig L. Hagen, Denis Sasseville, Howard I. Maibach, Joel G. DeKoven, Donald V. Belsito, Joseph F. Fowler, Kathryn A. Zug, James S. Taylor, C. G Toby Mathias, Anthony F. Fransway, Vincent A. Deleo, James G. Marks, Melanie D. Pratt, Matthew J. Zirwas, Frances Storrs

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)47-57
Number of pages11
JournalDermatitis
Volume28
Issue number1
DOIs
StatePublished - Jan 1 2017

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ASJC Scopus subject areas

  • Immunology and Allergy
  • Dermatology

Cite this

Warshaw, E. M., Hagen, S. L., Sasseville, D., Maibach, H. I., DeKoven, J. G., Belsito, D. V., Fowler, J. F., Zug, K. A., Taylor, J. S., Mathias, C. G. T., Fransway, A. F., Deleo, V. A., Marks, J. G., Pratt, M. D., Zirwas, M. J., & Storrs, F. (2017). Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014. Dermatitis, 28(1), 47-57. https://doi.org/10.1097/DER.0000000000000231