Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014

Erin M. Warshaw; Solveig L. Hagen; Denis Sasseville; Howard I. Maibach; Joel G. DeKoven; Donald V. Belsito; Joseph F. Fowler; Kathryn A. Zug; James S. Taylor; C. G.Toby Mathias; Anthony F. Fransway; Vincent A. Deleo; James G. Marks; Melanie D. Pratt; Matthew J. Zirwas; Frances J. Storrs

doi:10.1097/DER.0000000000000231

Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014

Erin M. Warshaw, Solveig L. Hagen, Denis Sasseville, Howard I. Maibach, Joel G. DeKoven, Donald V. Belsito, Joseph F. Fowler, Kathryn A. Zug, James S. Taylor, C. G.Toby Mathias, Anthony F. Fransway, Vincent A. Deleo, James G. Marks, Melanie D. Pratt, Matthew J. Zirwas, Frances J. Storrs

Dermatology

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

Background: Contact dermatoses are common in mechanic and repair occupations. Objectives: This study aimed to (1) estimate the prevalence of occupationally related contact dermatitis among mechanics/repairers patch tested from 1998 to 2014 by the North American Contact Dermatitis Group, (2) characterize responsible allergens and irritants, and their sources, and (3) compare results among 3 occupational subgroups (mechanics, electrical/electronic, and other). Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1998 and 2014. Results: Of 38,784 patients patch tested, 691 (1.8%) were mechanics/repairers. Male sex (93.5%) and hand involvement (59.5%) were common overall. Occupationally related skin disease was more prevalent among vehicle and mobile equipment mechanics/repairers (52.7%) and other mechanics/repairers (41.4%) than electrical/electronic equipment mechanics/repairers (21.3%). Overall, carba mix, thiuram mix, and methylchloroisothiazolone/methylisothiazolone were the most common occupation-related clinically relevant allergens. Gloves, automotive vehicles, solvents, oils, lubricants, and fuels were the most common sources of responsible allergens. Conclusions: Common occupationally related allergens included rubber accelerators and the preservative methylchloroisothiazolone/methylisothiazolone.

Original language	English (US)
Pages (from-to)	47-57
Number of pages	11
Journal	Dermatitis
Volume	28
Issue number	1
DOIs	https://doi.org/10.1097/DER.0000000000000231
State	Published - Jan 1 2017

ASJC Scopus subject areas

Immunology and Allergy
Dermatology

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Warshaw, E. M., Hagen, S. L., Sasseville, D., Maibach, H. I., DeKoven, J. G., Belsito, D. V., Fowler, J. F., Zug, K. A., Taylor, J. S., Mathias, C. G. T., Fransway, A. F., Deleo, V. A., Marks, J. G., Pratt, M. D., Zirwas, M. J., & Storrs, F. J. (2017). Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014. Dermatitis, 28(1), 47-57. https://doi.org/10.1097/DER.0000000000000231

Warshaw, EM, Hagen, SL, Sasseville, D, Maibach, HI, DeKoven, JG, Belsito, DV, Fowler, JF, Zug, KA, Taylor, JS, Mathias, CGT, Fransway, AF, Deleo, VA, Marks, JG, Pratt, MD, Zirwas, MJ & Storrs, FJ 2017, 'Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014', Dermatitis, vol. 28, no. 1, pp. 47-57. https://doi.org/10.1097/DER.0000000000000231

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title = "Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014",

abstract = "Background: Contact dermatoses are common in mechanic and repair occupations. Objectives: This study aimed to (1) estimate the prevalence of occupationally related contact dermatitis among mechanics/repairers patch tested from 1998 to 2014 by the North American Contact Dermatitis Group, (2) characterize responsible allergens and irritants, and their sources, and (3) compare results among 3 occupational subgroups (mechanics, electrical/electronic, and other). Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1998 and 2014. Results: Of 38,784 patients patch tested, 691 (1.8%) were mechanics/repairers. Male sex (93.5%) and hand involvement (59.5%) were common overall. Occupationally related skin disease was more prevalent among vehicle and mobile equipment mechanics/repairers (52.7%) and other mechanics/repairers (41.4%) than electrical/electronic equipment mechanics/repairers (21.3%). Overall, carba mix, thiuram mix, and methylchloroisothiazolone/methylisothiazolone were the most common occupation-related clinically relevant allergens. Gloves, automotive vehicles, solvents, oils, lubricants, and fuels were the most common sources of responsible allergens. Conclusions: Common occupationally related allergens included rubber accelerators and the preservative methylchloroisothiazolone/methylisothiazolone.",

author = "Warshaw, {Erin M.} and Hagen, {Solveig L.} and Denis Sasseville and Maibach, {Howard I.} and DeKoven, {Joel G.} and Belsito, {Donald V.} and Fowler, {Joseph F.} and Zug, {Kathryn A.} and Taylor, {James S.} and Mathias, {C. G.Toby} and Fransway, {Anthony F.} and Deleo, {Vincent A.} and Marks, {James G.} and Pratt, {Melanie D.} and Zirwas, {Matthew J.} and Storrs, {Frances J.}",

year = "2017",

month = jan,

day = "1",

doi = "10.1097/DER.0000000000000231",

language = "English (US)",

volume = "28",

pages = "47--57",

journal = "Dermatitis",

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T1 - Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing

T2 - Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014

AU - Warshaw, Erin M.

AU - Hagen, Solveig L.

AU - Sasseville, Denis

AU - Maibach, Howard I.

AU - DeKoven, Joel G.

AU - Belsito, Donald V.

AU - Fowler, Joseph F.

AU - Zug, Kathryn A.

AU - Taylor, James S.

AU - Mathias, C. G.Toby

AU - Fransway, Anthony F.

AU - Deleo, Vincent A.

AU - Marks, James G.

AU - Pratt, Melanie D.

AU - Zirwas, Matthew J.

AU - Storrs, Frances J.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Background: Contact dermatoses are common in mechanic and repair occupations. Objectives: This study aimed to (1) estimate the prevalence of occupationally related contact dermatitis among mechanics/repairers patch tested from 1998 to 2014 by the North American Contact Dermatitis Group, (2) characterize responsible allergens and irritants, and their sources, and (3) compare results among 3 occupational subgroups (mechanics, electrical/electronic, and other). Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1998 and 2014. Results: Of 38,784 patients patch tested, 691 (1.8%) were mechanics/repairers. Male sex (93.5%) and hand involvement (59.5%) were common overall. Occupationally related skin disease was more prevalent among vehicle and mobile equipment mechanics/repairers (52.7%) and other mechanics/repairers (41.4%) than electrical/electronic equipment mechanics/repairers (21.3%). Overall, carba mix, thiuram mix, and methylchloroisothiazolone/methylisothiazolone were the most common occupation-related clinically relevant allergens. Gloves, automotive vehicles, solvents, oils, lubricants, and fuels were the most common sources of responsible allergens. Conclusions: Common occupationally related allergens included rubber accelerators and the preservative methylchloroisothiazolone/methylisothiazolone.

AB - Background: Contact dermatoses are common in mechanic and repair occupations. Objectives: This study aimed to (1) estimate the prevalence of occupationally related contact dermatitis among mechanics/repairers patch tested from 1998 to 2014 by the North American Contact Dermatitis Group, (2) characterize responsible allergens and irritants, and their sources, and (3) compare results among 3 occupational subgroups (mechanics, electrical/electronic, and other). Methods: A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1998 and 2014. Results: Of 38,784 patients patch tested, 691 (1.8%) were mechanics/repairers. Male sex (93.5%) and hand involvement (59.5%) were common overall. Occupationally related skin disease was more prevalent among vehicle and mobile equipment mechanics/repairers (52.7%) and other mechanics/repairers (41.4%) than electrical/electronic equipment mechanics/repairers (21.3%). Overall, carba mix, thiuram mix, and methylchloroisothiazolone/methylisothiazolone were the most common occupation-related clinically relevant allergens. Gloves, automotive vehicles, solvents, oils, lubricants, and fuels were the most common sources of responsible allergens. Conclusions: Common occupationally related allergens included rubber accelerators and the preservative methylchloroisothiazolone/methylisothiazolone.

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Occupational Contact Dermatitis in Mechanics and Repairers Referred for Patch Testing: Retrospective Analysis from the North American Contact Dermatitis Group 1998-2014

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