tailieunhanh - Báo cáo y học: "Occupational Contact Dermatitis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Occupational Contact Dermatitis. | ORIGINAL ARTICLE Occupational Contact Dermatitis Denis Sasseville MD FRCPC Occupational contact dermatitis accounts for 90 of all cases of work-related cutaneous disorders. It can be divided into irritant contact dermatitis which occurs in 80 of cases and allergic contact dermatitis. In most cases both types will present as eczematous lesions on exposed parts of the body notably the hands. Accurate diagnosis relies on meticulous history taking thorough physical examination careful reading of Material Safety Data Sheets to distinguish between irritants and allergens and comprehensive patch testing to confirm or rule out allergic sensitization. This article reviews the pathogenesis and clinical manifestations of occupational contact dermatitis and provides diagnostic guidelines and a rational approach to management of these often frustrating cases. Key words allergic contact dermatitis irritant contact dermatitis occupational work related rhe skin is our primary interface with the external environment and in general performs quite efficiently as a barrier against noxious chemicals or living organisms. The range of human activities is extremely diversified and numerous occupations can lead to breakdown of the epidermal barrier with subsequent development of work-related dermatoses. Exposure in the workplace is responsible for a wide range of cutaneous problems as summarized in Table 1. Contact dermatitis however accounts for 90 of all cases of occupational 2 The true prevalence of occupational contact dermatitis is unknown as many workers never report minor ailments. Those with more severe conditions are initially managed and sometimes mismanaged by primary care physicians and some end up referred to dermatologists and allergists. It is important that the physician who takes charge of these patients knows how to recognize investigate and treat this disabling condition. The present article reviews the types etiology and clinical presentation of .