Current trends in occupational dermatology

Autor(en): Skudlik, Christoph 
Geier, Johannes
John, Swen Malte 
Stichwörter: CONTACT ALLERGY; Dermatology; Hand eczema; METHYLISOTHIAZOLINONE; Occupational skin cancer; Occupational skin disease; Prevention; RISK; SKIN-CANCER; Statutory employers' liability insurance
Erscheinungsdatum: 2014
Herausgeber: SPRINGER HEIDELBERG
Enthalten in: HAUTARZT
Band: 65
Ausgabe: 11
Startseite: 983
Seitenende: 995
Zusammenfassung: 
In clinical practice occupational skin diseases usually present as hand dermatitis. Occupationally acquired contact allergies are of eminent relevance in many work place products e.g. skin care products, dyes and paints, epoxy resins or protective gloves. However, not infrequently, a range of other dermatoses of different etiology and localization can be occupationally induced and, at least in Germany, thus be medically treated and-if necessary-compensated for with full coverage by the statutory employers' liability insurance. Examples regarding non-eczematous skin diseases triggered by external factors are psoriatic lesions, cutaneous type-1-allergies, occupationally acquired infections, and dermatoses in other localizations which are occupationally exposed to irritant influences (e.g. feet in workers wearing occlusive safety boots). Moreover, outdoor workers deserve specific attention by the dermatologist if squamous cell carcinomas including precursor lesions like actinic keratoses or Bowen disease have occurred. In Germany, recently the scientific advisory committee to the Ministry of Labor has recommended including these skin cancers caused by occupational solar UV exposure in the national list of occupational diseases. The framework for dermatological preventive care of occupationally-induced inflammatory dermatoses has been continuously improved in the last years. The aim is to reach a similar level of care and preventive measures for patients with occupational skin cancer, including primary preventive workers' education.
ISSN: 00178470
DOI: 10.1007/s00105-014-3530-8

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