Komericki Peter, Aberer Werner, Kränke Birger
Department of Environmental Dermatology and Venereology, University of Graz, Graz, Austria.
Wien Klin Wochenschr. 2004 May 31;116(9-10):322-5. doi: 10.1007/BF03040903.
A large number of case reports concerning occupational airborne contact dermatitis have been published in the last few years. Our purpose was to establish the prevalence of airborne contact dermatitis in a routinely patch-tested population and to obtain further epidemiologic data.
In a single-center study, the data of 5,092 routinely patch-tested patients were collected using a standardized questionnaire and a documentation form. The study period extended from October 1994 to March 2002.
The clinical diagnosis was airborne contact dermatitis in 15 cases (0.29%). Patch testing revealed positive and relevant results in nine patients (0.18%). Plant or wood extracts were the sensitizers in all cases but two, and perfume and epoxy resin were the sensitizers in one case each. The diagnosis of an irritant airborne contact dermatitis was established in six patients. A relationship with occupation was found in seven cases (0.14%) when 'housewife' was included as an occupational category and in five cases (0.1%) when this was excluded.
Airborne contact dermatitis is a rare diagnosis in an unselected patch-test population. An occupational relationship was less common than has been implied in case reports in recent years.
过去几年已发表了大量关于职业性空气传播性接触性皮炎的病例报告。我们的目的是确定在常规进行斑贴试验的人群中空气传播性接触性皮炎的患病率,并获取更多流行病学数据。
在一项单中心研究中,使用标准化问卷和记录表格收集了5092例常规进行斑贴试验患者的数据。研究时间段从1994年10月至2002年3月。
临床诊断为空气传播性接触性皮炎的有15例(0.29%)。斑贴试验显示9例患者(0.18%)结果呈阳性且具有相关性。除2例病例外,所有病例的致敏原为植物或木材提取物,另有1例病例的致敏原为香水,1例病例的致敏原为环氧树脂。6例患者被诊断为刺激性空气传播性接触性皮炎。将“家庭主妇”列为职业类别时,7例病例(0.14%)发现与职业有关;排除“家庭主妇”后,5例病例(0.1%)发现与职业有关。
在未经过挑选的斑贴试验人群中,空气传播性接触性皮炎是一种罕见的诊断。职业相关性比近年来病例报告中所暗示的情况要少见。