Unbearable wearables

As wearable devices play an increasing role in the management of health and disease, adverse skin reactions to wearables have become more common. However, the management of allergic contact dermatitis is challenging and new treatment options more compatible with wearable devices are needed. In a 40-year-old woman with contact dermatitis to a continuous glucose monitoring device, topical clobetasol propionate 0.05% spray proved to be an effective treatment that was compatible with the application of adhesive wearables. This case demonstrates that spray formulations of topical steroids are a good option for the treatment of dermatitis under wearable devices such as continuous glucose monitors or ostomy appliance

FAKTOR PENYEBAB TERJADINYA DERMATITIS KONTAK AKIBAT KERJA PADA PEKERJA BANGUNAN

Background: Occupational contact dermatitis is the largest part (90-95%) of occupational skin diseases. Construction workers are expected to have high risk of occupational contact dermatitis exposure. Aim: To determine the incidence and the causes of occupational contact dermatitis on construction workers in Semarang. Method: This research was cross sectional study with 46 research subjects of construction workers in Semarang at June 2015. Diagnosis due to occupational contact dermatitis based on clinical examination by a resident of skin and venereal diseases. Data were taken with a questionnaire covering the type of work and frequency of exposure. Data were analyzed using logistic regression test with significance level of p <0.05; Confidence intervals of 95% Result: The incidence of occupational contact dermatitis on construction workers in Semarang is 69.5%. Multivariate analysis shows that the type of work on the cement working section is 4.714 (C. I. =1.100-20.202), p=0.029 and wood working section is 0.517 (C. I. 0.039-0.630), p=0.006 and the frequency of exposure more than 8 times is 6.800 (C. I. 1.306-35.412), p=0.014 are factors that cause occupational contact dermatitis. Conclusion: The type of work and the frequency of exposure are factors of occupational contact dermatitis. Keywords: occupational contact dermatitis, type of work, frequency of exposure, causing factor

Pengaruh Abu Terbang Batubara terhadap Timbulnya Gejala Dermatitis Kontak Pada Karyawan Bagian Boiler di PT.Indo Acidatama Tbk, Kemiri, Kebakkramat, Karanganyar

Occupational contact dermatitis is a skin desease where exposure come from the workplace. The cause of exposure to subtances from outside in the body both of irritan subtance and allergen. PT.Indo Acidatama Tbk, Kemiri, Kebakkramat,Karanganyar using coal as one of fuel for boilers to generate steam wich also produce pollutant such as fly ash which can increase the risk of contact dermatitis. The purpose of this study to know the influence of fly ash to appearance the symptomps of contact dermatitis on the employees boiler in PT. Indo Acidatama Tbk. The method used observational research with cross sectional approach. Techniques of gets the sample using total sampling method with 25 Respondences a consist of 13 employes from boiler and 12 employes from mechanical workshop. The result of this study used the chi-square statistic test showed significant (p 0.006 <0.05), its means there was influence of fly ash to appearance the symptomps of contact dermatitis on the employees boiler in PT. Indo Acidatama Tbk, Kemiri, Kebakkramat, Karanganyar. Based of this study, 62% employes of boiler exposed contact dermatitis. To reduce contact dermatitis risk, workers should use personal protective equipment completely and awareness of employes’ personal hygien

The Correlation of Chemical Exposure and Personal Hygiene with Irritant Contact Dermatitis Among Workers in the Production Worker

Background: The production process at PT. X using oxalic acid as a mixture of Gum Rosin and Turpentine. Oxalic acid is corrosive and toxic and readily oxidized by water and oxygen that can cause irritation, rashes, burns, and damage to the skin and can cause irritant contact dermatitis. Irritant contact dermatitis cases reached 85% in the workplace. This is caused by direct exposure to chemicals, lack of attention to hygiene, sanitation and the lack of use of personal protective equipment. Purpose: This study aimed to study the correlation of chemicals exposure and personal hygiene with the incidence of irritant contact dermatitis on production workers of PT. X. Methods: This was a quantitative research with cross-sectional approach. The population was 35 workes of PT. X. The sampling technique used total sampling, while data analysis by using Pearson Correlation test. Results: The test results showed that there was a significant correlation between the exposure of the chemical with the occurrence of irritant contact dermatitis with p value = 0.047, whereas the correlation between personal hygiene with the incidence of irritant contact dermatitis with p value = 0.202 (insignificant). Conclusion: the exposure of chemicals significantly correlate with the occurence of contact dermatitis among the workers, while the personal hygiene had no correlation with the occurrence of irritant contact dermatitis of workers

Guidelines for performing skin tests with drugs in the investigation of cutaneous adverse drug reactions

Skin testing with a suspected drug has been reported to be helpful in determining the cause of cutaneous adverse drug reactions (CADR). Many isolated reports of positive drug skin tests are published, but without detailed information concerning the clinical features of the CADR and the method used in performing drug skin tests, such data are not very informative. A working party of the European Society of Contact Dermatitis (ESCD) for the study of skin testing in investigating cutaneous adverse drug reactions, has proposed the herein-reported guidelines for performing skin testing in CADR in order to standardize these procedures. In each reported case, the imputability of each drug taken at the onset of the CADR and a highly detailed description and characterization of the dermatitis need to be given. Drug skin tests are performed 6 weeks to 6 months after complete healing of the CADR. Drug patch tests are performed according to the methods used in patch testing in studying contact dermatitis. The commercialized form of the drug used by the patient is tested diluted at 30% pet. (pet.) and/or water (aq.). The pure drug is tested diluted at 10% in pet. or aq. In severe CADR, drug patch tests are performed at lower concentrations. It is also of value to test on the most affected site of the initial CADR. Drug prick tests are performed on the volar forearm skin with the commercialized form of the drug, but with sequential dilutions in cases of urticaria. Intradermal tests (IDT) are performed with sterile sequential dilutions (10-4, 10-3, 10-2, 10-1) of a pure sterile or an injectable form of the suspected drug with a small volume of 0.04 ml. Drug skin tests need to be read at 20 min and also later at D2 and D4 for patch tests, at D1 for prick tests and IDT. All these tests also need to be read at 1 week. The success of skin tests varies with the drug tested, with a high % of positive results, for example, with betalactam antibiotics, pristinamycin, carbamazepine and tetrazepam on patch testing, or with betalactam antibiotics and heparins on delayed readings of IDT. The results of drug skin tests also depend on the clinical features of the CADR. The use of appropriate control patients is necessary to avoid false-positive results

Hubungan Paparan Debu Kayu dengan Kejadian Dermatitis Kontak Iritan pada Pekerja Mebel PT X Jepara

Wood dust is an irritant substance and if it directly contact with the skin for a long time, it can cause workers exposed to the risk of irritant contact dermatitis. The purpose of this study was to analyze the relationship between irritant substances exposure with irritant contact dermatitis to sanding workers in PT X Jepara. The type and design of this study was an observational study using cross sectional approach. The instruments of this research are clinical examination by medical personnel, Personal Dust Sampler, questionnaires and observation.The population which used in this study were 139 with a sample of 60 sanding workers. The sampling technique that was use is proportionate stratified random sampling, and the data were analyzed using Chi Square test. The measurement results of respirable wood dust level showed the wood dust level exceed the Threshold Limit Value (TLV), which is 5 mg/m3. The result of this study indicates there are 21,7% of workers who had irritant contact dermatitis. Based on correlation test, researcher concluded that age is not associated with iritant contact dermatitis (p-value = 0,368), there is no correlation between years of service with the occurrence of irritant contact dermatitis (p-value = 0,182), there is no correlation between personal hygiene with the occurrence of irritant contact dermatitis (p-value = 0,689), and wood dust exposure is associated with iritant contact dermatitis (p-value = 0,005). Researcher suggested that workers need to wash their hands before and after working with hand soap, and the company need to educate workers the effect of wood dust exposure related to the occurrence of irritant contact dermatitis

Factors Related to Contact Dermatitis on Workers at PT Inti Pantja Press Industri

PT Inti Pantja Press Industri (IPPI) is an automotive manufacturing industry for car pressing body and car chassis. In the manufacturing process, its uses a variety of chemicals which may cause contact dermatitis for workers. There are other factors which may cause the contact dermatitis to workers worsen including indirect causes. The objective of this research is to investigate factors related to contact dermatitis in workers at PT IPPI. Research is conducted using a cross sectional design with quantitative approach which describe factors affecting the development of workers contact dermatitis. Research subjects are all the worker who uses chemicals during the work process (80 workers) consists from 4 (four) different sections: production (handwork), maintenance (plant service and die shop), quality control, and inventory finish part. Methodology used for data collection was using a questionnaire in which respondents were asked to fullfill a self-completion questionnaire. Results suggested that workers at PT IPPI experienced contact dermatitis are 39 workers (48,8%). There are 4 (four) factors were investigated using chi-square test (95% level of confidence) which are significantly related to contact dermatitis, including: type of work {p value 0,02, odds ratio 3,4 (1,305-8,641)}; age {p value 0,042, odds ratio 2,8 (1,136-7,019)}; working period {p value 0,014, odds ratio 3,5 (1,383-9,008)}; history of dermatitis at previous workplace {p value 0,042, odds ratio 5,9 (1,176-29,103)}. Factors which are not related to contact dermatitis are history of allergy, personal hygiene, and the use of PPE (Personal Protective Equipment)

Allergic contact dermatitis to shoes induced by dimethylfumarate: A new allergen imported from China

BACKGROUND: In the last two years several cases of severe contact dermatitis related to newly acquired sofas and armchairs originating from China have been published. The responsible allergen is dimethylfumarate (DMF), an extremely potent sensitizer and irritant found in sachets inside the furniture. Recently, cases of contact dermatitis related to shoes and riding helmets have also been described. METHODS: We evaluated two patients with allergic contact dermatitis related to shoes manufactured in China that were contaminated by dimethylfumarate found in sachets placed inside the shoeboxes. RESULTS: Patch tests with DMF extracted from the sachets inside the shoeboxes showed positive reactions. Postitive reactions were also obtained using small fragments of the shoes and tissue of the "MouldProof" sachet. The patients were instructed to avoid the suspected shoes and were treated with topical corticosteroids. CONCLUSIONS: Contact dermatitis induced by dimethylfumarate should be suspected in appropriate cases. It is important to remember that this allergen is not included in most series for patch testing

An Update on Airborne Contact Dermatitis: 2001-2006

Reports on airborne dermatoses are mainly published in the context of occupational settings. Hence, in recent years, dermatologists and also occupational physicians have become increasingly aware of the airborne source of contact dermatitis, resulting mainly from exposure to irritants or allergens. However, their occurrence is still underestimated, because reports often omit the term 'airborne' in relation to dust or volatile allergens. For the present update, we screened the journals 'Contact Dermatitis' (July 2000 to December 2006); 'Dermatitis', formerly named 'American Journal of Contact Dermatitis'; 'La Lettre du Gerda' (January 2000 to December 2006); and also included relevant articles from other journals published during the same period. This resulted in an updated list of airborne dermatitis causes