University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA.
Contact Dermatitis Institute, Phoenix, AZ, USA.
Occup Med (Lond). 2020 Oct 27;70(7):523-526. doi: 10.1093/occmed/kqaa152.
Allergic contact dermatitis (ACD) is a common occupational disease. Hairdressers and beauticians are at increased risk of occupational chronic hand eczema. We present a case of mixed occupational, non-occupational and iatrogenic ACD in a hairdresser which illustrates that delayed diagnosis can result in high morbidity, and unnecessary treatment and cost. A hairdresser with chronic hand and facial eczema failed medical management with topical steroids and dupilumab. Patch testing revealed contact allergy to multiple occupational exposures, home exposures and topical medicaments.
变应性接触性皮炎(ACD)是一种常见的职业病。理发师和美容师患职业性慢性手部湿疹的风险增加。我们报告了一例理发师混合性职业性、非职业性和医源性 ACD 的病例,说明延迟诊断会导致高发病率和不必要的治疗和费用。一名患有慢性手部和面部湿疹的理发师,在外用类固醇和度普利尤单抗治疗后未能得到医学控制。斑贴试验显示对多种职业暴露、家庭暴露和局部药物过敏。