Gaddour Asma, Sridi Chayma, Chouchane Asma, Moussa Amene, El Maalel Olfa, Brahem Aicha, Maoua Maher, Kalboussi Houda, Kacem Imene, Chatti Souhail, Mrizak Najib
Department of occupational medicine, Faculty of medicine of Sousse.
Department of occupational medicine and occupational pathologies, Ibn El Jazzar hospital, Kairouan, Tunisia.
Tunis Med. 2024 Mar 5;102(3):164-169. doi: 10.62438/tunismed.v102i3.4226.
Several clinical and epidemiological data point to a possible link between smoking exposure and contact dermatitis (CD).
To identify the clinical and epidemiological differences of CD in smoking and non-smoking subjects, and to determine the influence of smoking on the allergological profile of CD.
Retrospective descriptive study who consulted the Department of Occupational Medicine and Occupational Pathology of the Farhat Hached University Hospital of Sousse (Tunisia) during a period of 8 years for exploration of CD and who were tested with the European Standard Battery (ESB).
A total of 767 patients were enrolled during the study period, 40% of whom were smokers. The group of smokers was characterized by a male predominance (p=10-3) and a greater professional seniority compared to non-smokers (p=0.01). Personal history of atopy was predominant in non-smokers (p=0.02). Among the ESB allergens, there was a significant association between smoking and CD due to metals (chromium, cobalt) and conservatives. After binary logistic regression, the variables associated with smoking exposure were male gender (OR=12.12 ; 95% CI=[6.07 - 24.21]; p=10-3), Kathon CG allergy (OR=3.69 ; 95% CI=[1.24 - 10.81]; p=0.018), and right hand involvement (OR= 2.83; 95% CI=[1.29 - 6.17]; p=0.005).
Our study revealed an effect of smoking on the clinical and allergological characteristics of CD.
多项临床和流行病学数据表明吸烟暴露与接触性皮炎(CD)之间可能存在联系。
确定吸烟和非吸烟受试者中接触性皮炎的临床和流行病学差异,并确定吸烟对接触性皮炎过敏谱的影响。
回顾性描述性研究,研究对象为在8年期间到突尼斯苏塞法哈特·哈谢德大学医院职业医学与职业病理学部门咨询接触性皮炎并接受欧洲标准组合(ESB)检测的患者。
研究期间共纳入767例患者,其中40%为吸烟者。吸烟者组以男性居多(p = 10⁻³),与非吸烟者相比职业资历更高(p = 0.01)。非吸烟者中特应性个人史更为常见(p = 0.02)。在ESB过敏原中,吸烟与金属(铬、钴)和防腐剂引起的接触性皮炎之间存在显著关联。经过二元逻辑回归分析,与吸烟暴露相关的变量为男性性别(OR = 12.12;95%置信区间=[6.07 - 24.21];p = 10⁻³)、卡松CG过敏(OR = 3.69;95%置信区间=[1.24 - 10.81];p = 0.018)以及右手受累(OR = 2.83;95%置信区间=[1.29 - 6.17];p = 0.005)。
我们的研究揭示了吸烟对接触性皮炎临床和过敏特征的影响。