Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm), University of Osnabrück, Osnabrück, Germany.
Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany.
Contact Dermatitis. 2023 Jan;88(1):43-53. doi: 10.1111/cod.14218. Epub 2022 Oct 4.
Massage therapists are particularly exposed to constituents of massage preparations, wet work and mechanical strain and therefore, at high risk to develop occupational dermatitis (OD).
To describe the sensitization spectrum of massage therapists with OD.
In a retrospective study, patch test data of patients with OD (128 massage therapists and 24 374 patients working in other professions) collected by the Network of Departments of Dermatology (IVDK, 2008-2020) were analysed.
Hand dermatitis (91.4%) and allergic contact dermatitis (34.4%) were common in massage therapists with OD. Most frequent were sensitizations to fragrances/essential oils which were found in 54 (42.2%) massage therapists and thus, more often than in other patients with OD. Concomitant positivity to several fragrances/essential oils was frequent. In 8 (14.8%) of the 54 massage therapists, sensitizations to fragrances/essential oils were not detected with the baseline series, but only with special fragrance series.
Allergic contact dermatitis is common in massage therapists with OD and is mainly caused by fragrances and essential oils. Hence, massage therapists should be aware of this risk. When OD is suspected, not only the baseline series, but also special fragrance series should be patch tested in this occupational group.
按摩治疗师特别容易接触到按摩制剂、湿工作和机械劳损的成分，因此患职业性皮炎（OD）的风险很高。
描述患有 OD 的按摩治疗师的致敏谱。
在一项回顾性研究中，分析了由皮肤科部门网络（IVDK，2008-2020 年）收集的患有 OD 的患者（128 名按摩治疗师和 24374 名从事其他职业的患者）的斑贴试验数据。
手部皮炎（91.4%）和过敏性接触性皮炎（34.4%）是患有 OD 的按摩治疗师的常见症状。最常见的致敏原是香料/精油，有 54 名（42.2%）按摩治疗师对其过敏，因此比其他患有 OD 的患者更常见。同时对几种香料/精油呈阳性的情况也很常见。在 54 名对香料/精油过敏的按摩治疗师中，有 8 名（14.8%）在基线系列中未检测到过敏，但仅在特殊香料系列中检测到。
过敏性接触性皮炎在患有 OD 的按摩治疗师中很常见，主要是由香料和精油引起的。因此，按摩治疗师应该意识到这一风险。当怀疑出现 OD 时，不仅要进行基线系列测试，还要在这个职业群体中进行特殊香料系列测试。
