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Medline ® Abstract for Reference 21

of 'Chronic hand eczema'

Consequences of occupational food-related hand dermatoses with a focus on protein contact dermatitis.
Vester L, Thyssen JP, MennéT, Johansen JD
Contact Dermatitis. 2012 Dec;67(6):328-33. Epub 2012 May 25.
BACKGROUND: Protein contact dermatitis is a frequent disorder among hand eczema patients who have occupational food contact. Knowledge about the consequences of having protein contact dermatitis is lacking.
OBJECTIVES: To investigate the consequences of having occupational skin disease on the hands resulting from food handling, with a focus on protein contact dermatitis.
MATERIAL AND METHODS: One hundred and seventy-eight patients who were identified as having skin disease related to occupational food exposure and who answered a questionnaire concerning the consequences of their skin disease were included in the study. The patients were consecutively examined at Gentofte Hospital, Denmark between 2001 and 2010.
RESULTS: Seventy-five per cent of patients with protein contact dermatitis had to wear gloves at work, and 62.5% reported sick leave lasting for>3 weeks, as compared with 60.2% and 30%, respectively, of thepatients with other occupational food-related hand dermatoses (p = 0.02). Sixty-two per cent and 43%, respectively, had to change job because of skin problems (p = 0.02). Atopic dermatitis was equally common in the two groups.
CONCLUSION: We found that the patients with protein contact dermatitis experienced more severe and frequent consequences than patients with other food-related hand dermatoses.
Department of Dermato-Allergology, National Allergy Research Centre, Copenhagen University Hospital Gentofte, 2900 Hellerup, Denmark.