Hand dermatitis

Patterson A. 1993. Hand dermatitis in a hand cleanser salesman. Contact Dermatitis 28(2) 119-120. 

Evidence from at least one randomized controlled trial (level I) show that 10% urea is effective for the treatment of psorisasis, ichthyosis, and dry feet, and 4 to 10% for the treatment of dry atopic skin and senescent skin. Evidence from another well-designed clinical study (level II) supports the treatment of hand dermatitis with urea. Evidence at level I also exist showing barrier improving effects of urea in both normal and in dry skin disorders (atopic skin, ichthyosis). Furthermore, strong evidence exists (level I) for reduced susceptibility to SLS, but not to other external agents. No evidence has been found for successful treatment of seborrhoic dermatitis, perioral dermatitis, and keratosis pilaris with urea. 

Schleicher, S.M., Milstein, H.J., Ilowite, R., and Meyer, P., Response of hand dermatitis to a new skin barrier-protectant cream, Cutis, 61, 233, 1998. 

Kucharekova, M., Van De Kerkhof, P.C.M., and Van Der Valk, P.G.M., A randomized comparison of an emollient containing skin-related hpids with a petrolatum-based emolhent as adjunct in the treatment of chronic hand dermatitis, Contact Dermatitis, 48, 293, 2003. 

Whitaker, D.K., Cilliers, J., and de Beer, C., Evening primrose oil (Epogam) in the treatment of chronic hand dermatitis disappointing therapeutic results, Dermatology, 193, 115, 1996. 

Spiewak R, Dutkiewicz J. Occupational airborne and hand dermatitis to hop Humulus lupulus) with non-occupational relapses. Ann Agric Environ Med 2002 9(2) 249-52. 

The author concluded that the patient had become sensitized to nickel and chromate in the orthopedic metals. It was also apparent that sensitization to cobalt had occurred, even though no cobalt could be shown on analysis. The hand dermatitis improved after removal of the metal from the ankle, but nevertheless continued to relapse. 

Kanerva L, Forstrom L. Allergic nickel and chromate hand dermatitis induced by orthopaedic metal implant. Contact Dermatitis 2001 44(2) 103-4. 

Mowad C. Chloroxylenol causing hand dermatitis in a plumber. Am ] Contact Dermatitis 1998 9(2) 128-129. 

In these countries hand dermatitis affects 2-6% of the population. 

Menne, T., Borgan, O. and Green, A. (1982). Nickel allergy and hand dermatitis in a stratified sample of the Danish female population An epidemiological study including a statistical appendix. Acta Derm. Venerol. (Stockh) 62, 35-41. 

MRSA outbreak in NICU linked to nurse with hand dermatitis. Hosp Infect Control 16(1) 9-10, 1989. 

ME Pay. Hand dermatitis—the role of gloves. Assoc Operating Room Nurs J 54(3) 451-467, 1991. 

Kuligowski, M.E., A. Chang, and J.H. Leemreize. 1992. Allergic contact hand dermatitis from hydrangea Report of a 10th case. Contact Dermat. 26(4) 269-270. 

Wakelin, S.H., P. Marren, E. Young, and S. Shaw. 1997. Compositae sensitivity and chronic hand dermatitis in a seven-year-old boy. Br. J. Dermatol. 137(2) 289-291. 

A Bauer, J Bong, P J Coenraads, P Eisner, J English, H C Williams, 2003 Interventions for preventing occupational irritant hand dermatitis .(protocol). Cochrane Database of Systematic Reviews 2003, Issue 3. Art. No. CD004414. DOI 10.1002/146S18S8.CD004414. 

A 41-year-old man developed suspected occupational hand dermatitis, but had clinical features that were not typical of contact dermatitis, with discrete excoriated papules and some hchenilied plaques on the dorsum of the hands and wrists the palms were unaffected [50 ]. Punch biopsies from the backs of the hands suggested Uchen simplex. However, patch testing was positive with various salts of cobalt. At work he had been exposed to cobalt in a viscous polyester resin, which he had sanded without gloves. 

Work-related dermatoses, in particular hand dermatitis, are still among the most prevalent occupational diseases. On a visit to any manufacturing plant, one is likely to encounter workers with hand dermatitis. There is a vast literature on work-related dermatoses, particularly case reports and investigative clinical studies their epidemiology, however, has received little attention. 

In an epidemiological study on the prevalence of HE in different occupational groups, it was noted that in population-based studies the symptoms of contact dermatitis are relatively mild in the majority of cases, judged from the proportion of cases that resulted in sick leave or medical attention (Smit et al. 1993). Of all persons with work-related hand dermatitis, only between 15% and 36% had consulted a physician for treatment, and sick leave due to their symptoms resulted in only 4-9% (Table 3). 

Smit et al. (1994) followed 74 apprentice hairdressers and 111 apprentice nurses from the start of first occupational exposure until the end of their apprenticeship. The average IR of hand dermatitis was 32.8 cases/100 person-years in hairdressers and 14.5 cases/ 100 person-years in nurses. The relative risk of having a dry versus normal skin type was 7.3 in hairdressers and 1.7 in nurses. Apprentice nurses with a history of (atopic) mucosal symptoms had a 3.4-fold increased... 

Lammintausta K, Kalimo K (1981) Atopy and hand dermatitis in hospital wet work. Contact Dermatitis 7 301-308 Lantinga H, Nater JP, Coenraads PJ (1984) Prevalence, incidence and course of eczema on the hands and forearms in a sample of the general population. Contact Dermatitis 10 135-139 Lahti A (1995) Immediate contact reactions. In Rycroft RJG, Menne T, Frosch PJ, Benezra C (eds) Textbook of contact dermatitis. Springer, Berlin Heidelberg New York, pp 62-74... 

Shah M, Lewis FM, Gawkrodger DJ (1996) Prognosis of occupational hand dermatitis in metalworkers. Contact Dermatitis 34 27-30... 

Smit HA, Coenraads PJ, Lavrijsen APM, Nater JP (1992) Evaluation of a self-administered questionnaire on hand dermatitis. Contact Dermatitis 26 11-16... 

Smit HA, Burdorf A, Coenraads PJ (1993) The prevalence of hand dermatitis in different occupations. Int J Epidemiol 22 288-293... 

---