Occupationally related contact dermatitis in North American food service workers referred for patch testing, 1994 to 2010

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

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Contact dermatoses are common in food service workers (FSWs). Objectives: This study aims to (1) determine the prevalence of occupationally related contact dermatitis among FSWs patch tested by the North American Contact Dermatitis Group (NACDG) and (2) characterize responsible allergens and irritants as well as sources. Methods: Cross-sectional analysis of patients patch tested by the NACDG, 1994 to 2010, was conducted. Results: Of 35,872 patients patch tested, 1237 (3.4%) were FSWs. Occupationally related skin disease was significantly more common in FSWs when compared with employed non-FSWs. Food service workers were significantly more likely to have hand (P <0.0001) and arm (P <0.0006) involvement. The rates for irritant and allergic contact dermatitis in FSWs were 30.6% and 54.7%, respectively. Although the final diagnosis of irritant contact dermatitis was statistically higher in FSWs as compared with non-FSWs, allergic contact dermatitis was lower in FSWs as compared with non-FSWs. The most frequent currently relevant and occupationally related allergens were thiuram mix (32.5%) and carba mix (28.9%). Gloves were the most common source of responsible allergens. The NACDG standard tray missed at least 1 occupationally related allergen in 38 patients (4.3%). Conclusions: Among FSWs patch tested by the NACDG between 1994 and 2010, the most common allergens were thiuram mix and carba mix. Gloves were the most common source of responsible allergens.

Original languageEnglish (US)
Pages (from-to)22-28
Number of pages7
JournalDermatitis
Volume24
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Food Services
Contact Dermatitis
Allergens
Thiram
Allergic Contact Dermatitis
Irritants
Skin Diseases
Irritant Dermatitis
Arm
Hand
Cross-Sectional Studies

ASJC Scopus subject areas

  • Dermatology
  • Immunology and Allergy

Cite this

Warshaw, E. M., Kwon, G. P., Mathias, C. G. T., Maibach, H. I., Fowler, J. F., Belsito, D. V., ... DeKoven, J. G. (2013). Occupationally related contact dermatitis in North American food service workers referred for patch testing, 1994 to 2010. Dermatitis, 24(1), 22-28. https://doi.org/10.1097/DER.0b013e31827b14e1

Occupationally related contact dermatitis in North American food service workers referred for patch testing, 1994 to 2010. / Warshaw, Erin M.; Kwon, Gina P.; Mathias, C. G Toby; Maibach, Howard I.; Fowler, Joseph F.; Belsito, Donald V.; Sasseville, Denis; Zug, Kathryn A.; Taylor, James S.; Fransway, Anthony F.; DeLeo, Vincent A.; Marks, James G.; Pratt, Melanie D.; Storrs, Frances; Zirwas, Matthew J.; DeKoven, Joel G.

In: Dermatitis, Vol. 24, No. 1, 01.2013, p. 22-28.

Research output: Contribution to journalArticle

Warshaw, EM, Kwon, GP, Mathias, CGT, Maibach, HI, Fowler, JF, Belsito, DV, Sasseville, D, Zug, KA, Taylor, JS, Fransway, AF, DeLeo, VA, Marks, JG, Pratt, MD, Storrs, F, Zirwas, MJ & DeKoven, JG 2013, 'Occupationally related contact dermatitis in North American food service workers referred for patch testing, 1994 to 2010', Dermatitis, vol. 24, no. 1, pp. 22-28. https://doi.org/10.1097/DER.0b013e31827b14e1
Warshaw, Erin M. ; Kwon, Gina P. ; Mathias, C. G Toby ; Maibach, Howard I. ; Fowler, Joseph F. ; Belsito, Donald V. ; Sasseville, Denis ; Zug, Kathryn A. ; Taylor, James S. ; Fransway, Anthony F. ; DeLeo, Vincent A. ; Marks, James G. ; Pratt, Melanie D. ; Storrs, Frances ; Zirwas, Matthew J. ; DeKoven, Joel G. / Occupationally related contact dermatitis in North American food service workers referred for patch testing, 1994 to 2010. In: Dermatitis. 2013 ; Vol. 24, No. 1. pp. 22-28.
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abstract = "Background: Contact dermatoses are common in food service workers (FSWs). Objectives: This study aims to (1) determine the prevalence of occupationally related contact dermatitis among FSWs patch tested by the North American Contact Dermatitis Group (NACDG) and (2) characterize responsible allergens and irritants as well as sources. Methods: Cross-sectional analysis of patients patch tested by the NACDG, 1994 to 2010, was conducted. Results: Of 35,872 patients patch tested, 1237 (3.4{\%}) were FSWs. Occupationally related skin disease was significantly more common in FSWs when compared with employed non-FSWs. Food service workers were significantly more likely to have hand (P <0.0001) and arm (P <0.0006) involvement. The rates for irritant and allergic contact dermatitis in FSWs were 30.6{\%} and 54.7{\%}, respectively. Although the final diagnosis of irritant contact dermatitis was statistically higher in FSWs as compared with non-FSWs, allergic contact dermatitis was lower in FSWs as compared with non-FSWs. The most frequent currently relevant and occupationally related allergens were thiuram mix (32.5{\%}) and carba mix (28.9{\%}). Gloves were the most common source of responsible allergens. The NACDG standard tray missed at least 1 occupationally related allergen in 38 patients (4.3{\%}). Conclusions: Among FSWs patch tested by the NACDG between 1994 and 2010, the most common allergens were thiuram mix and carba mix. Gloves were the most common source of responsible allergens.",
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AU - Kwon, Gina P.

AU - Mathias, C. G Toby

AU - Maibach, Howard I.

AU - Fowler, Joseph F.

AU - Belsito, Donald V.

AU - Sasseville, Denis

AU - Zug, Kathryn A.

AU - Taylor, James S.

AU - Fransway, Anthony F.

AU - DeLeo, Vincent A.

AU - Marks, James G.

AU - Pratt, Melanie D.

AU - Storrs, Frances

AU - Zirwas, Matthew J.

AU - DeKoven, Joel G.

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