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Structured diagnostic assessment of hand eczema in cleaning workers

Jamiolkowski, Dagmar and Steveling-Klein, Esther and Thomas, Zita-Rose Manjaly and Bircher, Andreas and Hofmeier, Kathrin Scherer and Hartmann, Karin. (2021) Structured diagnostic assessment of hand eczema in cleaning workers. Journal der Deutschen Dermatologischen Gesellschaft, 19 (5). pp. 672-676.

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Official URL: https://edoc.unibas.ch/82526/

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Abstract

Hand dermatitis is a widespread problem among cleaners. In most cases, it is caused by a combination of wet work and contact with irritants, which can result in irritant (toxic) contact dermatitis. In some cases, the irritant contact eczema then evolves into allergic contact dermatitis, although not all cases of allergic contact dermatitis are preceded by irritant contact dermatitis. This mini-review proposes a two-step diagnostic algorithm based on patch testing, which can be used if allergic contact dermatitis is suspected in cleaning workers. As a first step, we recommend performing the DKG standard series (German Contact allergy research group, DKG), the DKG rubber series, both DKG "further fragrances" series as well as the DKG preservative and disinfectant series. If there are clear hints of an occupational contact dermatitis, the first step can also involve testing patients' own products alongside the standardized tests. In a second step (at the latest), if standardized tests do not suffice to identify the culprit allergen and there is well-founded suspicion, we recommend testing the patients' own products. If necessary, the second step can also include testing the individual contact allergens contained in the screening mixes that are part of the standard series.
Faculties and Departments:03 Faculty of Medicine > Bereich Spezialf├Ącher (Klinik) > Dermatologie USB > Allergologie (Hartmann)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Spezialf├Ącher (Klinik) > Dermatologie USB > Allergologie (Hartmann)
03 Faculty of Medicine > Departement Biomedizin > Department of Biomedicine, University Hospital Basel > Allergy and Immunity (Hartmann)
UniBasel Contributors:Steveling-Klein, Esther Helen and Hartmann, Karin
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley
ISSN:1610-0387
e-ISSN:1610-0379
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:31 Aug 2021 09:30
Deposited On:31 Aug 2021 08:53

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