Cohen S R
Department of Dermatology, Cornell University Medical College, New York, New York.
Dermatol Clin. 1988 Jan;6(1):15-9.
It is a virtual certainty that the dermatologist will be called upon routinely to evaluate illness caused by occupational factors. Unfortunately, few are prepared adequately during formal training to care for the worker-patient. Reliance on crisis-oriented treatment(s) is frequently insufficient to manage this type of skin disease. One remedy for this problem is simply to read the literature; even limited acquaintance with the occupational health literature should begin to clarify the unique aspects of diagnosis and treatment. Consulting a single occupational dermatology reference will often lead to critical insights about an industrial setting, extracutaneous disease manifestations, toxicology, and preventive methods. Perhaps less obvious, this knowledge is essential to recognize and effectively support claims for workers' compensation, claims that may be the only means of redress for the tragic socioeconomic difficulties befalling those who are occupationally impaired. Bibliographic citations in this paper offer a stepwise approach to the literature and identify the important sources applicable to dermatology.
几乎可以肯定的是，皮肤科医生会经常被要求对由职业因素引起的疾病进行评估。不幸的是，在正规培训期间，很少有人为照顾工人患者做好充分准备。依赖以危机为导向的治疗方法往往不足以管理这类皮肤病。解决这个问题的一个办法就是阅读文献；即使只是有限地了解职业健康文献，也应该开始阐明诊断和治疗的独特方面。查阅单一的职业皮肤病学参考文献通常会带来关于工业环境、皮肤外疾病表现、毒理学和预防方法的重要见解。也许不那么明显的是，这些知识对于识别和有效支持工伤赔偿索赔至关重要，这些索赔可能是那些职业受损者所面临的悲惨社会经济困境的唯一补救手段。本文中的参考文献提供了一种逐步了解文献的方法，并确定了适用于皮肤科的重要来源。
