Steffens Elisabeth, Zeidan Hadi, Weisshaar Elke
Berufsdermatologie, Hautklinik, Universitätsklinikum Heidelberg, Voßstr. 2, 69115, Heidelberg, Deutschland.
Hautarzt. 2021 Jun;72(6):502-508. doi: 10.1007/s00105-021-04824-2. Epub 2021 May 4.
Occupational dermatology has become a vibrant and interesting specialty, particularly in recent years. This includes more than hand eczema (HE). The increasing prevalence of atopic dermatitis (AD) has led to an increase of atopic hand eczema which can be worsened in certain occupations. New systemic therapies have improved the range of treatments for HE. The current guideline on hand eczema includes a variety of topical and systemic therapies. Nevertheless, in daily occupational dermatological practice, there are still chronic cases, especially vesicular hand eczema. They can often not be assigned to a clear cause, which is often a problem for those who are affected. In addition, co-factors such as chronic infectious comorbidities and psychological factors/illnesses must be considered. We present challenges in occupational dermatology by reporting special cases.
职业性皮肤病学已成为一个充满活力且有趣的专业领域，尤其是近年来。这不仅包括手部湿疹（HE）。特应性皮炎（AD）患病率的上升导致了特应性手部湿疹的增加，在某些职业中病情可能会加重。新的全身治疗方法拓宽了手部湿疹的治疗范围。当前关于手部湿疹的指南涵盖了多种局部和全身治疗方法。然而，在日常职业性皮肤病诊疗实践中，仍存在慢性病例，尤其是水疱型手部湿疹。它们往往无法明确病因，这对患者来说常常是个问题。此外，还必须考虑慢性感染性合并症和心理因素/疾病等共同因素。我们通过报告特殊病例来呈现职业性皮肤病学面临的挑战。
