Lise Michelle Larissa Zini, Feijó Fernando Ribas, Lise Michael Laurence Zini, Lise Claudia Ribeiro Zini, Campos Luis Carlos Elejalde de
Dermatology Service at Hospital São Lucas - Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS) - Porto Alegre (RS), Brazil.
Department of Social Medicine at the Universidade Federal de Pelotas (UFPEL) - Pelotas (RS), Brazil.
An Bras Dermatol. 2018 Jan-Feb;93(1):27-32. doi: 10.1590/abd1806-4841.20185314.
Occupational diseases are very prevalent in the world, especially in developing countries. Occupational dermatoses are responsible for most of these cases. However, epidemiological studies are rare in Brazil.
To verify the panorama of occupational skin diseases in Brazil describing frequencies of work-related dermatoses and their sociodemographic and occupational patterns.
We used retrospective data from the Notifiable Diseases Information System, (from 2007-2014) tabulated with the Tab program for Windows - TabWin12. We used intentional non-probability sampling and sequential selection, considering all notified occupational dermatoses.
All cases of occupational dermatoses referred to in the period were analyzed (n = 4710). Males and the age group of 35-49 years were the most affected. The most affected body area was the upper limb (34.2%) and the hand (25.4%). The "causative agent" field in the forms was not filled in 69.4% of cases, with chrome as the most prevalent cause reported (11.8%). ICD-10 codes more prevalent were L23, L24, and L25, corresponding to 34.2% of the sample. In total, 29% of patients needed to take a sick leave. No cases evolved to death and there were 0.2% of total as permanent disability.
The amount of missing information for various items in the system draws attention.
Treatment of patients with occupational dermatitis include the identification and removal of the causative agent and specific treatment of the disease. Diagnosis delay in cases of occupational dermatoses brings social and financial consequences to the work and life of workers.
职业病在全球非常普遍，尤其是在发展中国家。职业性皮肤病占这些病例的大部分。然而，巴西的流行病学研究很少。
核实巴西职业性皮肤病的情况，描述与工作相关的皮肤病的发病率及其社会人口学和职业模式。
我们使用了法定传染病信息系统的回顾性数据（2007 - 2014年），并用适用于Windows的Tab程序 - TabWin12进行制表。我们采用了有意非概率抽样和顺序选择，考虑了所有报告的职业性皮肤病病例。
分析了该时期内所有报告的职业性皮肤病病例（n = 4710）。男性和35 - 49岁年龄组受影响最大。受影响最严重的身体部位是上肢（34.2%）和手部（25.4%）。表格中“致病因素”一栏在69.4%的病例中未填写，铬是报告的最常见病因（11.8%）。国际疾病分类第十版（ICD - 10）中最常见的编码是L23、L24和L25，占样本的34.2%。总共有29%的患者需要休病假。没有病例发展至死亡，永久性残疾占总数的0.2%。
该系统中各项缺失信息的数量值得关注。
职业性皮炎患者的治疗包括识别和去除致病因素以及对疾病进行特效治疗。职业性皮肤病的诊断延迟给工人的工作和生活带来社会和经济后果。
