27 - Occupational Skin Disease Flashcards
Exposure classification of occupational skin diseases
- Chemical
- Mechanical
- Physical
- Biologic
Vast majority of occupational skin diseases are attributed to _____ agents
Chemical
Occupational contact dermatitis comprises _____% of occupational skin diseases
90-95
Highest total skin disease cases found in
Education and health services
Highest incidence rate of skin diseases found in
Natural resources and mining industries
Vast proportion of occupational skin diseases occur on the
Hands (80%)
Most common occupational exposure leading to contact dermatitis
Wet work tasks
ICD presentations
Acute Irritant reaction Cumulative Traumatic Asteatotic dermatitis Pustular and acneiform Subjective
Manifests when the skin is exposed to a potent irritant or caustic chemical
Acute ICD
Decrescendo vs crescendo: ICD or ACD
Decrescendo: ICD
Crescendo: ACD
Most frequent potent culprits giving rise to acute ICD
Acids and alkaline
Scaling and erythema are first identified under rings before spreading over fingers to hands and forearms
Irritant reaction contact dermatitis
Irritant reaction contact dermatitis usually affects the
Dorsum of the hand
Consequence of multiple subthreshold insults to the skin with insufficient time between insults to allow complete restoration of the skin barrier function
Cumulative ICD
In cumulative ICD, clinical symptoms develop only when the damage exceeds an individually determined
Manifestation threshold
Associated with weak irritants rather than potent irritants
Cumulative ICD
May arise after acute skin trauma
Traumatic ICD
Seen predominantly in elderly individuals with a history of extensive usage of soaps and cleansing products
Asteatotic dermatitis
Should always be considered when acneiform lesions develop in postadolescent patients who never had teenage acne
Pustular and acneiform ICD
Y/N: Pustules are sterile and transient in pustular and acneiform ICD.
Yes
Result from exposure to specific irritants such as croton oil, mineral ouls, tars, greases and naphthalenes
Pustular and acneiform ICD
Lack of objective clinical signs as individuals complain of a sensation of burning or stinging
Subjective ICD
Subjective ICD has been observed with chemicals such as
Lactic acid
Most common type of contact urticaria
Nonimmunologic contact urticaria
