Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
30
1
online
1
fulltext
en
Evaluation of occupational allergic contact dermatitis and its related factors in Iran
Occupational Medicine
Occupational Medicine
Original Research
Original Research
<p style="text-align: justify;"><strong>Background: </strong>Occupational contact dermatitis, especially in hand, is one of the most common occupational disorders. The present study aimed at evaluating patients with occupational allergic contact dermatitis (ACD) caused by common allergens based on occupation type and disease history.</p>
<p style="text-align: justify;"><strong> Methods: </strong>This cross-sectional study aimed at evaluating the data of the patients with probable diagnosis of ACD in Center for Research and Training in Skin Diseases and Leprosy (CRTSDL) in Iran. In the present study, 946 patients were assessed from different regions of Iran. One hundred fifty-one cases with positive patch test and relevant exposure were entered into the study; data related to their occupation and disease activity history were evaluated and recorded. Then, factors related to disease activity history were assessed considering the occupational groups and common exposures.</p>
<p style="text-align: justify;"><strong> Results:</strong> Nickel sulphate was the most common allergen in the 151 patients. Disease activity was constant in 29.8% of the patients; it increased in 27.8%, and decreased just before doing the patch test in 42.4%. Of the patients, 52.3% were getting worse during the working days. Occupational groups were significantly different in age and gender. Disease duration was also different in the occupational groups (p=0.001). The least disease duration was observed in healthcare workers, and the most in service workers. Lesions in the foot were related to period of employment. In administrative work group, (teachers, technicians and housewives) disease activity was decreased in the most cases, while it was increased in most patients of service workers (p=0.086).</p>
<p style="text-align: justify;"><strong> Conclusion:</strong> The present study, similar to previous reports, revealed that nickel sulphate is the most common allergen in ACD cases. Moreover, it was found that the symptoms of disease activity remained constant or increased in a significant proportion of the cases during the working days. Therefore, these workers should seriously follow up on this matter and change their occupation, or limit the exposure to allergens. </p>
Allergic Contact Dermatitis (ACD), Disease History, Occupational Allergic Contact Dermatitis, Patch Test.
1238
1243
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1102&slc_lang=en&sid=1
Mansour
Nassiri-Kashani
mnassirik@gmail.com
200319475328460026380
200319475328460026380
No
Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Hassan
Nassiri-Kashani
nassiri.mh@iums.ac.ir
200319475328460026381
200319475328460026381
Yes
Occupational Medicine Research Center (OMRC), Iran University of Medical Sciences, Tehran, Iran.
Mostafa
Ghafari
m_ghafaari@yahoo.com
200319475328460026382
200319475328460026382
No
Iran University of Medical Sciences, Tehran, Iran.