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镀铬工人中的职业性皮肤病

Occupational dermatosis among chrome platers.

作者信息

Lee H S, Goh C L

机构信息

Department of Industrial Health, Ministry of Labour, Singapore.

出版信息

Contact Dermatitis. 1988 Feb;18(2):89-93. doi: 10.1111/j.1600-0536.1988.tb02746.x.

Abstract

14 (38%) of 37 chrome platers in 17 chrome electroplating factories surveyed had occupational contact dermatitis, chrome ulcers, or both. 7 had chrome ulcers, 6 had contact dermatitis and 1 had both. Another 16 (43%) workers had scars suggestive of previous chrome ulcers. Mucosal irritation was present in 57% of the workers. The most common was throat irritation (49%) followed by nasal irritation (41%). Mucosal irritation was more common in hard chrome platers, while skin ulcers and dermatitis were more common in bright chrome platers. Nasal septum perforation was seen in 1 worker. Skin ulceration appeared to be a more specific sign for occupational dermatosis in chrome platers than dermatitis when the prevalence rates were compared to controls. Of the 7 workers with chrome ulcers, only 1 was allergic to chromate. Of the 6 workers with dermatitis, 2 were allergic to chromate and 1 to nickel. The worker with ulceration and dermatitis was negative to chromate and nickel. Irritant factors are therefore important in the aetiology of contact dermatitis in these chrome platers.

摘要

在接受调查的17家镀铬电镀厂的37名镀铬工人中,有14名(38%)患有职业性接触性皮炎、铬溃疡或两者皆有。7人患有铬溃疡,6人患有接触性皮炎,1人两者皆有。另外16名(43%)工人有提示既往铬溃疡的瘢痕。57%的工人存在黏膜刺激。最常见的是咽喉刺激(49%),其次是鼻腔刺激(41%)。黏膜刺激在硬镀铬工人中更常见,而皮肤溃疡和皮炎在光亮镀铬工人中更常见。1名工人出现鼻中隔穿孔。当将患病率与对照组进行比较时,皮肤溃疡似乎比皮炎更能作为镀铬工人职业性皮肤病的特异性体征。在7名患有铬溃疡的工人中,只有1人对铬酸盐过敏。在6名患有皮炎的工人中,2人对铬酸盐过敏,1人对镍过敏。患有溃疡和皮炎的工人对铬酸盐和镍均呈阴性。因此,刺激因素在这些镀铬工人接触性皮炎的病因中很重要。

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