Gambichler Thilo, Uzun Akin, Boms Stefanie, Altmeyer Peter, Altenmüller Eckart
Department of Dermatology, Ruhr-University Bochum, Gudrunstr. 56, 44791 Bochum, Germany.
Contact Dermatitis. 2008 Apr;58(4):217-22. doi: 10.1111/j.1600-0536.2007.01310.x.
Instrumental musicians are a risk group for a variety of skin conditions.
To determine the frequency and risk factors of instrument-related skin disorders in musicians.
We mailed an 11-item survey to 19 German universities of music and performing arts.
412 musicians returned the completed questionnaire, of whom 21.6% (89/412) had an instrument-related skin disorder including callosities (52/89; 58.4%), contact dermatitis (CD; 17/89; 19.1%), fiddler's neck (17/89; 19.1%), and erosion (3/89; 3.4%). Allergic CD (13/17; 76.5%) was most frequently reported in violinists and violists. Of 116 violinists and violists, 17 (14.7%) suffered from fiddler's neck. String and plucking instrumentalists most frequently reported callosities (61/89; 68.5%) and skin problems (32/37; 86.5%). Instrument-related skin disorders were significantly associated with high practice frequencies (P = 0.022) and a professional status (P = 0.001).
Callosities and CD were the most commonly reported skin changes in the respondents. Both callosities and skin problems such as CD and fiddler's neck are significantly associated with high practice frequencies and professional status. Our data indicate that among those returning the questionnaires, string players and plucking instrumentalists seem to be at highest risk of developing skin problems when compared with players of other musical instruments.
乐器演奏者是多种皮肤疾病的风险群体。
确定音乐家与乐器相关的皮肤疾病的发生率及风险因素。
我们向19所德国音乐与表演艺术大学邮寄了一份包含11个项目的调查问卷。
412名音乐家返还了完整问卷，其中21.6%（89/412）患有与乐器相关的皮肤疾病，包括胼胝（52/89；58.4%）、接触性皮炎（CD；17/89；19.1%）、小提琴手颈部皮炎（17/89；19.1%）和糜烂（3/89；3.4%）。变应性接触性皮炎（13/17；76.5%）在小提琴手和中提琴手中最为常见。在116名小提琴手和中提琴手中，17名（14.7%）患有小提琴手颈部皮炎。弦乐器演奏者和拨弦乐器演奏者最常报告胼胝（61/89；68.5%）和皮肤问题（32/37；86.5%）。与乐器相关的皮肤疾病与高练习频率（P = 0.022）和专业身份（P = 0.001）显著相关。
胼胝和接触性皮炎是受访者中最常报告的皮肤变化。胼胝以及接触性皮炎和小提琴手颈部皮炎等皮肤问题均与高练习频率和专业身份显著相关。我们的数据表明，在返还问卷的人中，与其他乐器演奏者相比，弦乐器演奏者和拨弦乐器演奏者出现皮肤问题的风险似乎最高。
