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Occupational allergic contact dermatitis to gloves, follow-up of investigated patients

Björk, Ann-Kristin LU ; Pontén, Ann LU ; Hamnerius, Nils LU ; Bergendorff, Ola LU ; Bruze, Magnus LU and Svedman, Cecilia LU (2014) 12th Contress of the European Society of Contact Dermatitis (ESCD) In Contact Dermatitis 70(Suppl s1). p.94-94
Abstract
Background: In the Department of Occupational and Environmental Dermatology there has been an increase in the inflow of patients, working as surgical nurses or surgeons. They have been referred due to presumed occupational contact dermatitis. Results from investigated patients have in part been presented previously, where the investigation has shownmultiple contact allergies caused by their occupational use of gloves. Allergens such as diphenylguanidine were found in the gloves and contact allergies to their rubber gloves were found. Many of the patients have been working for decades in their present occupation, but the hand dermatitis had often been present for less than a year. Objectives: To present a follow-up of patientswith hand... (More)
Background: In the Department of Occupational and Environmental Dermatology there has been an increase in the inflow of patients, working as surgical nurses or surgeons. They have been referred due to presumed occupational contact dermatitis. Results from investigated patients have in part been presented previously, where the investigation has shownmultiple contact allergies caused by their occupational use of gloves. Allergens such as diphenylguanidine were found in the gloves and contact allergies to their rubber gloves were found. Many of the patients have been working for decades in their present occupation, but the hand dermatitis had often been present for less than a year. Objectives: To present a follow-up of patientswith hand dermatitis due to gloves. Methods: A follow-up of the patients and a structure for the investigation of the individual patient are given. Results: The cases will be presented with their contact allergies, howtheinvestigation isperformedandtheoutcomeof theprevention by avoiding gloves containing the allergens diagnosed in the individual patients. Conclusions: For health care personnel hand hygiene and the wearing of protective gloves are mandatory. Our findings indicate that the increased need to use rubber gloves and at the same time the exclusion of latex gloves give rise to new contact allergies which are clinically relevant. In the investigation, and the advice given to the patients, several factors have to be taken into consideration, including the fast change of glove material. The cases indicate the importance of close cooperation between chemists and dermatologists and the possibility to perform chemical analysis. Furthermore, and just as important for this patient group, is that with correct diagnosis and advice the contact dermatitis can actually heal completely and the patients continue in their work. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Gloves, Occupational dermatosis, rubber, allergen, latex, glove, skin allergy, patient, follow up, contact dermatitis, human, society, occupational eczema, contact allergy, dermatitis, dermatology, occupation, health care personnel, chemical analysis, dermatologist, surgeon, protective clothing, diagnosis, hand washing, nurse
in
Contact Dermatitis
volume
70
issue
Suppl s1
pages
94 - 94
publisher
Wiley-Blackwell
conference name
12th Contress of the European Society of Contact Dermatitis (ESCD)
conference location
Barcelona, Spain
conference dates
2014-06-25 - 2014-06-28
ISSN
0105-1873
DOI
10.1111/cod.12263
language
English
LU publication?
yes
id
3d683779-9a7b-40e8-9c78-3e73221b7ef1
date added to LUP
2017-06-15 14:20:25
date last changed
2018-11-21 21:32:49
@misc{3d683779-9a7b-40e8-9c78-3e73221b7ef1,
  abstract     = {{Background: In the Department of Occupational and Environmental Dermatology there has been an increase in the inflow of patients, working as surgical nurses or surgeons. They have been referred due to presumed occupational contact dermatitis. Results from investigated patients have in part been presented previously, where the investigation has shownmultiple contact allergies caused by their occupational use of gloves. Allergens such as diphenylguanidine were found in the gloves and contact allergies to their rubber gloves were found. Many of the patients have been working for decades in their present occupation, but the hand dermatitis had often been present for less than a year. Objectives: To present a follow-up of patientswith hand dermatitis due to gloves. Methods: A follow-up of the patients and a structure for the investigation of the individual patient are given. Results: The cases will be presented with their contact allergies, howtheinvestigation isperformedandtheoutcomeof theprevention by avoiding gloves containing the allergens diagnosed in the individual patients. Conclusions: For health care personnel hand hygiene and the wearing of protective gloves are mandatory. Our findings indicate that the increased need to use rubber gloves and at the same time the exclusion of latex gloves give rise to new contact allergies which are clinically relevant. In the investigation, and the advice given to the patients, several factors have to be taken into consideration, including the fast change of glove material. The cases indicate the importance of close cooperation between chemists and dermatologists and the possibility to perform chemical analysis. Furthermore, and just as important for this patient group, is that with correct diagnosis and advice the contact dermatitis can actually heal completely and the patients continue in their work.}},
  author       = {{Björk, Ann-Kristin and Pontén, Ann and Hamnerius, Nils and Bergendorff, Ola and Bruze, Magnus and Svedman, Cecilia}},
  issn         = {{0105-1873}},
  keywords     = {{Gloves; Occupational dermatosis; rubber; allergen; latex; glove; skin allergy; patient; follow up; contact dermatitis; human; society; occupational eczema; contact allergy; dermatitis; dermatology; occupation; health care personnel; chemical analysis; dermatologist; surgeon; protective clothing; diagnosis; hand washing; nurse}},
  language     = {{eng}},
  month        = {{06}},
  note         = {{Conference Abstract}},
  number       = {{Suppl s1}},
  pages        = {{94--94}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Contact Dermatitis}},
  title        = {{Occupational allergic contact dermatitis to gloves, follow-up of investigated patients}},
  url          = {{http://dx.doi.org/10.1111/cod.12263}},
  doi          = {{10.1111/cod.12263}},
  volume       = {{70}},
  year         = {{2014}},
}