>> Occupational Dermatitis

The Skin at Work

The commonest health problem after musculo-skeletal problems is dermatitis. Approximately 29% of industrial health problems care contact dermatitis and probably many people suffer from this and do not realise it. Most people work with their hands and this is usually the first part of the skin that is affected by contact dermatitis. The commoner things that cause contact dermatitis are wetwork, detergents and machining oils. Occasionally people become sensitised when their immune system becomes highly reactive to specific chemicals. A common example of this is nickel in metal jewellery (especially non-gold earrings), chemicals such as part glues, epoxy resins and biocides in cosmetics and toiletries.

Usually the expertise of a dermatologist will be needed to investigate, usually with allergy tests called patch tests, to identify which substances are causing trouble and to see if patients have become sensitised to particular chemicals.

The next common work related skin problem is the onset of redness and a nettle-type rash on the hands when wearing rubber gloves. This is called contact urticaria and latex has been an increasingly common cause of this problem especially in health care workers. This allergy is an immediate type allergy to the latex protein contacted when wearing rubber gloves. Unfortunately this can occasionally cause acute anaphylaxis if a severe reaction occurs so it is important for individuals to know if they are allergic to latex or not.

For further information please contact the Latex Allergy Support Group who offer a national network of support for those affected, raise awareness of the allergy and prevention.

The Secretary
Latex Allergy Support Group
PO Box 27
Filey
YO14 9YH
Helpline: (07071) 225838 (7pm - 10pm Monday - Friday)

Some occupations can expose workers to carcinogenic materials. Fortunately this is much less common now than 30 years ago when mineral oils were a well-known cause of scrotal cancer. Skin cancer from contact with chemicals is extremely rare nowadays. Sun damage is proving much more of a problem and most skin cancers are probably related to increasing accumulation of damage from sun exposure.

Recognition of an occupational dermatitis

The clinical appearance of a rash usually helps the doctor make a diagnosis. Most work related dermatitis affects either the hands or other exposed areas such as the face or neck. It is rare for work related skin conditions to affect covered parts of the body.

Prevention

Prevention of contact dermatitis is better than trying to cure it. Often once people have developed dermatitis the condition can remain chronic. Increased automation of the work process, suitable protective clothing and adequate amounts of after work creams are the mainstay of preventative measures.

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