Department of Dermatology, University of Texas Medical School, Houston, TX 77030, USA.
Dermatitis. 2012 Jan-Feb;23(1):27-31. doi: 10.1097/DER.0b013e31823d18ef.
Several laborers in a refinery unit undergoing a work over noted skin eruptions. Signs and symptoms included erythema, pruritus, scaling, and perifollicular inflammation on skin contacted by fire-retardant clothing (FRC).
The purposes of this report were to show a correlation between this rash outbreak and the use of FRC, to report the investigative results as to what aspect of the FRC most likely caused the dermatitis, and to present how this outbreak was ended.
Employees received questionnaires, were examined, and received patch testing, and pH testing of FRC was performed to evaluate the causative factors.
More than 100 workers reported a rash, and approximately a third of these individuals exhibited a unique rash. There was a trend toward Hispanic and white workers being more affected than black workers. The onset of the rash peaked from June to August. This FRC-related rash resolved with the use of manufacturer-recommended laundering procedures.
The FRC-associated eruption was most likely a form of irritant contact dermatitis due to inadequate laundering procedures. The most effective preventative measure other than proper laundering was the use of underclothing to prevent contact of FRC with sweat-moistened skin.
在一次检修过程中，炼油厂的几名工人出现了皮肤疹。症状包括接触阻燃服（FRC）的皮肤出现红斑、瘙痒、脱屑和滤泡周围炎症。
本报告旨在展示皮疹爆发与阻燃服使用之间的相关性，报告调查结果，说明 FRC 最有可能引起皮炎的方面，并介绍如何结束这次爆发。
员工接受问卷调查、检查和斑贴试验，对 FRC 进行 pH 值测试，以评估致病因素。
超过 100 名工人报告出现皮疹，其中约三分之一的人出现了独特的皮疹。西班牙裔和白人工人比黑人工人更容易受到影响。皮疹的发病高峰期是从 6 月到 8 月。这种与 FRC 相关的皮疹通过使用制造商推荐的洗涤程序得到了缓解。
由于洗涤程序不当，FRC 相关的皮疹爆发很可能是一种刺激性接触性皮炎。除了正确洗涤之外，最有效的预防措施是穿着内衣，以防止 FRC 与汗湿的皮肤接触。
