Holness D L, Mace S R
Gage Occupational and Environmental Health Unit and the Division of Allergy and Chemical Immunology, St Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Am J Contact Dermat. 2001 Jun;12(2):88-92. doi: 10.1053/ajcd.2001.20783.
Health care workers are exposed to many agents that can cause irritant or allergic contact dermatitis. Recently, much attention has been focused on latex sensitivity, which commonly causes contact urticaria. Most studies have examined the conditions of irritant or allergic contact dermatitis and contact urticaria independently. Therefore, we have little information about the possible occurrence of these conditions in the context of combined assessment including both prick and patch testing.
To determine the prevalence of irritant and allergic contact dermatitis and contact urticaria in a group of health care workers presenting with skin problems.
Retrospective review of health care workers assessed by both prick and patch testing in an occupational health clinic.
The diagnoses included 61% with irritant contact dermatitis, 31% with allergic contact dermatitis, and 27% with contact urticaria to latex. Eleven percent had both allergic contact dermatitis related to thiuram and contact urticaria to latex. Ninety five percent were deemed to be work-related.
Health care workers presenting with skin complaints should be assessed with both prick and patch testing.
医护人员会接触到许多可引起刺激性或过敏性接触性皮炎的物质。最近,乳胶敏感性受到了广泛关注,其通常会引发接触性荨麻疹。大多数研究都是分别考察刺激性或过敏性接触性皮炎以及接触性荨麻疹的情况。因此,在包括点刺试验和斑贴试验的联合评估背景下,我们对这些情况可能的发生情况了解甚少。
确定一组有皮肤问题的医护人员中刺激性和过敏性接触性皮炎以及接触性荨麻疹的患病率。
对职业健康诊所中接受点刺试验和斑贴试验评估的医护人员进行回顾性研究。
诊断结果包括61%为刺激性接触性皮炎,31%为过敏性接触性皮炎,27%对乳胶有接触性荨麻疹。11%既患有与秋兰姆相关的过敏性接触性皮炎,又对乳胶有接触性荨麻疹。95%的病例被认为与工作有关。
有皮肤问题的医护人员应同时接受点刺试验和斑贴试验评估。