Work-Related Hand Eczema in Healthcare Workers: Etiopathogenic Factors, Clinical Features, and Skin Care
Open Access
Abstract
Work-related skin conditions, including work-related irritant and allergic contact dermatitis, rank as the second most prevalent among work-related diseases. The most commonly reported manifestation of these conditions is hand eczema, which develops due to exposure to various substances in the workplace. Understanding the origins and triggers of eczema and contact dermatitis enables healthcare professionals to educate themselves and their patients about effective preventive measures, such as avoiding specific irritants and allergens, using protective equipment, and maintaining proper skincare hygiene. Additionally, this knowledge facilitates the development of new recommendations to enhance skin protection in work-related settings, regulate the use of substances known to cause work-related skin diseases, and provide healthcare practitioners with the necessary training to recognize and manage these conditions. Given that approximately one in every five healthcare workers is considered to have hand eczema, the objective of this study was to review the existing literature regarding the characteristics of eczema in healthcare workers. Furthermore, this study aimed to comprehensively investigate environmental and constitutional factors (including years of work experience involving exposure to skin hazards, frequent glove use, regular handwashing and water contact, frequent use of disinfectants and detergents, and a history of previous allergies and atopic dermatitis) that influence the occurrence and progression of eczema.Keywords
This publication has 105 references indexed in Scilit:
- Cytokines and Chemokines in Irritant Contact DermatitisMediators of Inflammation, 2013
- Clinical course of occupational irritant contact dermatitis of the hands in relation to filaggrin genotype status and atopyBritish Journal of Dermatology, 2012
- Allergic contact dermatitis: epidemiology, molecular mechanisms, in vitro methods and regulatory aspectsCellular and Molecular Life Sciences, 2011
- Long-term follow-up study of occupational hand eczemaBritish Journal of Dermatology, 2010
- Non-invasive in vivo methods for investigation of the skin barrier physical propertiesEuropean Journal of Pharmaceutics and Biopharmaceutics, 2009
- Self‐reported hand eczema in a hospital populationContact Dermatitis, 2007
- The Regulation of Permeability Barrier HomeostasisJournal of Investigative Dermatology, 2007
- Osnabrueck hand eczema severity index – a study of the interobserver reliability of a scoring system assessing skin diseases of the handsContact Dermatitis, 2006
- Induction of cytokine (interleukin‐1α and tumor necrosis factor‐α) and chemokine (CCL20, CCL27, and CXCL8) alarm signals after allergen and irritant exposureExperimental Dermatology, 2005
- CCR4 versus CCR10 in human cutaneous TH lymphocyte traffickingBlood, 2003