Zarnowski Julia, Treudler R
Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Leipzig A.ö.R., Philipp-Rosenthal-Str. 23, 04103, Leipzig, Deutschland.
Institut für Allergieforschung, Charité Universitätsklinikum Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
Dermatologie (Heidelb). 2025 May 26. doi: 10.1007/s00105-025-05509-w.
Food-induced allergic reactions not only occur in private settings but also in occupational context. In these cases, the presence of an occupational disease should be investigated. We provide an overview of selected food-associated occupational diseases.
A literature search was conducted on food-associated occupational dermatoses (contact urticaria, protein contact dermatitis) and occupational food anaphylaxis.
Food allergy as an occupational disease is usually manifested as respiratory or cutaneous symptoms, while food anaphylaxis is rarely reported. Employees in food processing industries, in particular cooks and workers in the fishing and meat industry as well as employees in the bakery and pastry industries, represent a highly exposed group for food-associated occupational dermatoses, occupational asthma and food anaphylaxis.
The possible triggers for occupational food allergies are diverse and can range from foods of animal origin (meat, fish, dairy products) to various plant-derived allergens and food additives (e.g. carmine E120, enzymes). A precise exposure history and allergological diagnostics are crucial in cases of suspected occupational food allergy.
食物诱发的过敏反应不仅发生在私人环境中，也发生在职业环境中。在这些情况下，应调查是否存在职业病。我们提供了一些与食物相关的职业病概述。
对与食物相关的职业性皮肤病（接触性荨麻疹、蛋白质接触性皮炎）和职业性食物过敏反应进行了文献检索。
食物过敏作为一种职业病通常表现为呼吸道或皮肤症状，而职业性食物过敏反应的报道很少。食品加工业的员工，特别是厨师、渔业和肉类行业的工人以及面包店和糕点业的员工，是与食物相关的职业性皮肤病、职业性哮喘和职业性食物过敏反应的高暴露人群。
职业性食物过敏的可能触发因素多种多样，范围从动物源性食物（肉类、鱼类、乳制品）到各种植物源性过敏原和食品添加剂（如胭脂红E120、酶）。在疑似职业性食物过敏的情况下，准确的接触史和过敏诊断至关重要。
