Boonchai Waranya, Thanomkitti Kanchalit, Kasemsarn Pranee
J Med Assoc Thai. 2014 Nov;97(11):1182-8.
Thailand, an agricultural country developing into an industrial country, has diferences in work environment, substance exposure, and climate. These factors may lead to a distinct epidemiology of occupational contact dermatitis (OCD).
To study the prevalence of allergic and irritant occupational contact dermatitis in Thailand.
The records of patients diagnosed of OCD and patch tested between 2006 and 2010 at Siriraj University Hospital were retrospectively reviewed.
From 885patch tested patients, 194 (21.9%) had OCD. Of those 194 patients, 76.8% were female and23.2% were male. Allergic contact dermatitis (ACD; 76.3%) wasfoundto be more common than irritant contact dermatitis (ICD; 24.2%). The common affectedpart was hands (51.5%). The mostfrequent occupation was wet work (35.1%), followed by office work (24.7%), industrial work (16%), and medical personnel (13.4%). The most common occupational allergens were nickel sulfate (33.1%), potassium dichromate (19.6%), and carba mix (15.5%). Water (56.1%), foods (4.9%), and oil/grease (2.4%) were the most common occupational irritants.
In our setting, allergic OCD was more common than irritant OCD. Nickel sulfate was the most common occupational allergen. Occupational A CD and lCD are most commonly found in industrial work and wet works, respectively.
泰国正从农业国发展成为工业国，其工作环境、物质接触和气候存在差异。这些因素可能导致职业性接触性皮炎（OCD）的流行病学特征有所不同。
研究泰国过敏性和刺激性职业性接触性皮炎的患病率。
回顾性分析2006年至2010年在诗里拉吉大学医院被诊断为职业性接触性皮炎并进行斑贴试验的患者记录。
在885名接受斑贴试验的患者中，194人（21.9%）患有职业性接触性皮炎。在这194名患者中，76.8%为女性，23.2%为男性。发现过敏性接触性皮炎（ACD；76.3%）比刺激性接触性皮炎（ICD；24.2%）更常见。常见的受累部位是手部（51.5%）。最常见的职业是湿作业（35.1%），其次是办公室工作（24.7%）、工业工作（16%）和医务人员（13.4%）。最常见的职业过敏原是硫酸镍（33.1%）、重铬酸钾（19.6%）和卡巴混合物（15.5%）。水（56.1%）、食物（4.9%）和油/油脂（2.4%）是最常见的职业刺激物。
在我们的研究中，过敏性职业性接触性皮炎比刺激性职业性接触性皮炎更常见。硫酸镍是最常见的职业过敏原。职业性过敏性接触性皮炎和刺激性接触性皮炎分别最常见于工业工作和湿作业中。
