Occupational Dermatology Flashcards

1
Q

80% of all occupational skin disorders are?

A

contact dermatitis: either irritant or allergic

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2
Q

Skin disorders constitute __% of reported occupational disease?

A

30-35%

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3
Q

Atopic workers are at risk for?

A

irritant contact dermatitis

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4
Q

Most (70-80%) of contact dermatitis is primarily?

A

irritant contact dermatitis ICD

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5
Q

Type IV hypersensitivity is associated with?

A

allergic contact dermatitis ACD

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6
Q

ACD frequent causes include:

A

metals, resins, fluxes, plants, rubber products

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7
Q

T or F: Atopics are higher risk for ACD?

A

False. Higher risk for ICD, not ACD.

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8
Q

Hydroflouric acid is used in which industries?

A

printing, glass etching, wood etching, rust remover

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9
Q

Hydroflouric acid toxicity:

A

severe, non-apparent burns below skin; pulmonary edema, systemic hypocalcemia/hypomagnesemia; systemic hyperkalemia; V-fib

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10
Q

Pathophysiology of HF toxicity is:

A

liquefaction necrosis

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11
Q

Treatment of HF dermal:

A

benzalkonium chloride; calcium gluconate

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12
Q

Treatment of HF systemic:

A

10% calcium gluconate by IV; monitor cardiac, lytes

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13
Q

“Rose gardener’s disease” is associated with:

A

sporothrix schenckii

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14
Q

What is classic sporotrichosis lesion?

A

non-tender ulcerating nodule, secondary lymphatic nodules.

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15
Q

Chloracne is associated with exposure to:

A

halogenated aromatic hydrocarbons such as dioxin and PCB and herbicides.

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16
Q

Chloracne skin lesions may last up to?

A

15 years

17
Q

Scrotal cancer is associated with what exposure?

A

polycyclic aromatic hydrocarbons PAHs (byproducts of fossil fuel combustion)

18
Q

Examples of polycyclic aromatic hydrocarbons:

A

asphalt, coal, oil, mineral, shale.

19
Q

Squamous cell carcinoma: sunlight exposure is synergistic with ____?

A

PAHs

20
Q

Acro-osteolysis is associated with which exposure?

A

vinyl chloride monomer VC

21
Q

What is main risk factor for malignant melanoma?

A

UV exposure

22
Q

What is main risk factor for basal cell carcinoma?

A

sunlight ONLY!