From the Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Avov, Israel.
Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Dermatitis. 2023 Nov-Dec;34(6):509-515. doi: 10.1089/derm.2022.0109. Epub 2023 May 23.
Contact dermatitis is a common condition in the general population, with a global prevalence of 20%. It is an inflammatory skin disease that is classified as irritant contact dermatitis (80%) and allergic contact dermatitis (ACD) (20%). In addition, it is the most common presentation of occupational dermatoses and is one of the primary reasons for seeking medical attention among military personnel. Only few studies have compared the characteristics of contact dermatitis in soldiers and civilians. To compare the characteristics of ACD between civilians and soldiers. This large retrospective study was conducted in Israel and involved 1800 civilians and 750 soldiers with suspected ACD. All patients underwent relevant patch tests based on their clinical presentation and medical history. At least 1 positive allergic reaction was found in 382 civilians (21.22%) and 208 soldiers (27.73%) (nonsignificant). Moreover, 69 civilians (18.06%) and 61 soldiers (29.32%) had at least 1 positive occupational allergic reaction ( < 0.05). Widespread dermatitis was significantly more common among soldiers. The most frequent occupations among civilians with positive allergic reactions were hairdressers/beauticians. "Professional, technical, and managerial occupations" were the most frequent categories among soldiers (24.6%), with computing professionals being the most common occupation (46.67%). Military personnel and civilians have different characteristics associated with ACD. Therefore, considering these characteristics before placement in a workplace can help prevent ACD.
接触性皮炎是一种常见的人群疾病，全球患病率为 20%。它是一种炎症性皮肤病，分为刺激性接触性皮炎（80%）和过敏性接触性皮炎（ACD）（20%）。此外，它是职业性皮肤病最常见的表现，也是军人寻求医疗关注的主要原因之一。只有少数研究比较了士兵和平民接触性皮炎的特征。为了比较平民和士兵之间 ACD 的特征。这项大型回顾性研究在以色列进行，涉及 1800 名平民和 750 名疑似 ACD 的士兵。所有患者根据临床表现和病史进行相关斑贴试验。在 382 名平民（21.22%）和 208 名士兵（27.73%）中至少发现 1 种阳性过敏反应（无统计学意义）。此外，在 69 名平民（18.06%）和 61 名士兵（29.32%）中至少有 1 种阳性职业性过敏反应（<0.05）。广泛性皮炎在士兵中更为常见。过敏反应阳性的平民中最常见的职业是理发师/美容师。“专业、技术和管理职业”是士兵中最常见的类别（24.6%），计算机专业人员是最常见的职业（46.67%）。军人和平民与 ACD 相关的特征不同。因此，在将其安置在工作场所之前考虑这些特征可以帮助预防 ACD。
