Bulcke D M, Devos S A
Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.
J Eur Acad Dermatol Venereol. 2007 Mar;21(3):360-3. doi: 10.1111/j.1468-3083.2006.01935.x.
Infectious and non-infectious hand and forearm dermatoses are frequent in daily veterinary medicine. In this specific occupation there is a serious impact of skin disease on the lives and careers of veterinarians.
In this study we clarify the different occupational dermatoses on hands and forearms among veterinarians, using data collected in different dermatological patch-test expert centres in Belgium and the Netherlands.
Instead of questioning veterinarians themselves, which has been done in different studies in the past, we contacted dermatologists in Belgium and the Netherlands, questioning them about their experiences with dermatoses among veterinarians.
Seven dermatologists described a total of 58 veterinarians. Infectious dermatoses were described in 12 cases (20.7%). The non-infectious dermatoses (46 cases, 79.3%) can be classified as contact urticaria and as irritant or allergic contact dermatitis.
While irritant contact dermatitis accounts for the vast majority of hand and forearm dermatoses among veterinarians, contact urticaria and allergic contact dermatitis also significantly contribute to the occupational morbidity. Repeated hand washing, occlusion under rubber gloves, contact with animal protein fluids during obstetric procedures and contact with antiseptic agents, systemic and topical corticosteroids and antibiotics are the most likely causes of hand and forearm dermatoses among veterinarians.
在日常兽医医学中，手部和前臂的感染性及非感染性皮肤病很常见。在这一特定职业中，皮肤疾病对兽医的生活和职业有严重影响。
在本研究中，我们利用在比利时和荷兰不同皮肤科斑贴试验专家中心收集的数据，阐明兽医手部和前臂不同的职业性皮肤病。
与过去不同研究中直接询问兽医本人不同，我们联系了比利时和荷兰的皮肤科医生，询问他们在兽医中皮肤病的诊治经验。
7位皮肤科医生共描述了58名兽医。其中12例（20.7%）为感染性皮肤病。非感染性皮肤病（46例，79.3%）可分为接触性荨麻疹以及刺激性或过敏性接触性皮炎。
虽然刺激性接触性皮炎在兽医手部和前臂皮肤病中占绝大多数，但接触性荨麻疹和过敏性接触性皮炎也显著导致职业发病率。反复洗手、戴橡胶手套时的封闭环境、产科手术中接触动物蛋白液以及接触消毒剂、全身性和局部用皮质类固醇及抗生素是兽医手部和前臂皮肤病最可能的病因。
