Department of Dermatology, University of Nebraska Medical Center, 985645 Nebraska Medical Center, Omaha, NE, 68198-5645, USA.
Department of Dermatology, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.
Curr Allergy Asthma Rep. 2021 Mar 29;21(4):26. doi: 10.1007/s11882-021-01000-3.
This article aims to summarize some recent trends in occupational allergic contact dermatitis (ACD), including dermatitis related to pandemic-level personal protective equipment in healthcare workers, hazards patients may experience when working from home, and occupational perspectives on the recent American Contact Dermatitis Society (ACDS) allergens of the year and ACDS Core Allergen Series updates.
Recent ACDS Allergens of the Year may be particularly relevant to healthcare workers, including isobornyl acrylate, which is present in glucose sensors and propylene glycol present in hand cleansers and disinfectants. Lavender, limonene, and linalool, all of which are new additions to the ACDS Core Allergen Series, have been reported as causes for occupational ACD in massage therapists and aromatherapists. Isothiazolinone allergy continues to rise in both consumer and occupational settings. Finally, the COVID-19 pandemic has resulted in a wave of occupational ACD in healthcare workers to personal protective equipment, and revealed new potential allergens for individuals working from home. Occupational allergic contact dermatitis continues to exert a significant occupational disease burden. Remaining aware of the current trends in allergens may allow for earlier recognition, diagnosis, and treatment, subsequently helping our patients to work in healthier and safer environments.
本文旨在总结职业性接触性皮炎（ACD）的一些最新趋势，包括与医护人员大流行级别的个人防护设备相关的皮炎、居家办公的患者可能面临的危害，以及近期美国接触性皮炎学会（ACDS）年度过敏原和 ACDS 核心过敏原系列更新的职业视角。
近期 ACDS 年度过敏原可能与医护人员尤其相关，包括存在于葡萄糖传感器中的异冰片丙烯酸酯和存在于洗手液和消毒剂中的丙二醇。薰衣草、柠檬烯和芳樟醇均为 ACDS 核心过敏原系列的新增物质，已被报道是按摩治疗师和芳香疗法师职业性 ACD 的病因。异噻唑啉酮过敏在消费者和职业环境中持续上升。最后，COVID-19 大流行导致医护人员对个人防护设备的职业性 ACD 呈浪潮式爆发，并揭示了居家办公人群新的潜在过敏原。职业性接触性皮炎仍对职业病负担产生重大影响。持续关注当前过敏原趋势，可能有助于更早识别、诊断和治疗，从而帮助我们的患者在更健康、更安全的环境中工作。
