Suuronen Katri, Jolanki Riita, Luukkonen Ritva, Alanko Kristiina, Susitaival Päivikki
Finnish Institute of Occupational Health, Occupational Medicine, Helsinki, Finland.
Contact Dermatitis. 2007 Oct;57(4):259-64. doi: 10.1111/j.1600-0536.2007.01207.x.
Machinists and machine maintenance men working in the metal industry use metal-working fluids capable of causing irritant and allergic contact dermatitis. The objectives of this study were to find out the frequency of skin symptoms in machinists and machine maintenance men (metal workers) and to compare the risk of their skin symptoms to that in office workers (controls). A total of 726 male metal workers and 84 controls answered a structured telephone questionnaire enquiring about work, atopy, skin symptoms, their impact on life, etc. The risk of skin symptoms compared with that in the controls was estimated using a logistic regression analysis. Of the metal workers, 20% reported recurring or prolonged dermatitis on their hands or forearms during the past 12 months. The hand or forearm dermatitis (HD) affected mostly the metal workers' mood and their activities at work. Recurring dermatitis elsewhere (DE) than in the hands and in connection with work was reported by 10%. The risk of HD was about twofold and the risk of DE was about fourfold compared with that in the controls. The HD of machinists may be severe and affect their ability to work. DE may have clinical significance in machinists.
金属行业的机械师和机器维修工人会接触到能够引发刺激性和过敏性接触性皮炎的金属加工液。本研究的目的是了解机械师和机器维修工人（金属工人）皮肤症状的发生频率，并将他们出现皮肤症状的风险与办公室职员（对照组）进行比较。共有726名男性金属工人和84名对照组人员回答了一份结构化电话调查问卷，内容涉及工作、特应性、皮肤症状、其对生活的影响等。使用逻辑回归分析评估与对照组相比皮肤症状的风险。在金属工人中，20%的人报告在过去12个月里手部或前臂反复出现或持续存在皮炎。手部或前臂皮炎（HD）主要影响金属工人的情绪和工作活动。10%的人报告在手部以外的其他部位反复出现与工作相关的皮炎（DE）。与对照组相比，HD的风险约为两倍，DE的风险约为四倍。机械师的HD可能很严重，会影响他们的工作能力。DE在机械师中可能具有临床意义。
