Radhakrishnan S, Chopra Ajay, Mitra Debdeep, Gnanasekaran R, Kanagaraj R
Senior Advisor & Head (Dermatology & STD), Command Hospital Air Force, Bangalore 560007, India.
Senior Advisor (Dermatology & STD), Base Hospital, Delhi Cantt 110010, India.
Med J Armed Forces India. 2017 Jul;73(3):294-298. doi: 10.1016/j.mjafi.2016.05.009. Epub 2016 Aug 11.
Ground crew of the Air Force routinely handle aviation turbine fuel (ATF) and lubricants and a need was felt to study the adverse effects of these substances on their skin so that remedial measures could be taken to prevent these adverse effects.
A multi-centric, cross-sectional, observational study was performed at three Air Force flying stations. 109 ground crew members of the Indian Air Force (IAF) who were in direct contact with ATF and lubricants were screened for dermatological manifestations on exposed areas. History of atopy was elicited, systemic and dermatological examination done and occlusive patch testing carried out where indicated. Fungal infections were excluded by a potassium hydroxide mount.
20 out of the 109 personnel (18.34%) were symptomatic in the form of mild irritant contact dermatitis. There was no case of allergic contact dermatitis. Only two cases showed an irritant reaction on patch testing. 65% of the symptomatic personnel were atopic. There was no predisposing trade or age group for adverse effects to ATF.
This study revealed that contact with ATF is associated with only mild irritant contact dermatitis in exposed ground crew members of the IAF and atopy was a predisposing factor for susceptibility to the dermatitis.
空军地勤人员日常接触航空涡轮燃料(ATF)和润滑剂,因此觉得有必要研究这些物质对他们皮肤的不良影响,以便采取补救措施来预防这些不良影响。
在三个空军飞行站进行了一项多中心、横断面观察性研究。对109名直接接触ATF和润滑剂的印度空军(IAF)地勤人员暴露部位的皮肤表现进行筛查。询问特应性病史,进行全身和皮肤科检查,并在必要时进行封闭性斑贴试验。通过氢氧化钾涂片排除真菌感染。
109名人员中有20名(18.34%)出现轻度刺激性接触性皮炎症状。无过敏性接触性皮炎病例。斑贴试验仅有两例出现刺激反应。65%有症状的人员患有特应性疾病。对于ATF的不良影响,不存在易患工种或年龄组。
本研究表明,IAF暴露在外的地勤人员接触ATF仅与轻度刺激性接触性皮炎有关,特应性是易患该皮炎的一个因素。