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Hand eczema in 45 bakers - a clinical study
B Meding1, K Wrangsjö, J Brisman
1Occupational Dermatology, National Institute for Working Life, Stockholm, Sweden.
Contact Dermatitis
|March 19, 2003
Summary
Bakers face a high risk of hand eczema due to occupational exposures. This study confirms significant medical and social impacts, emphasizing the need for early diagnosis and prevention strategies.
Area of Science:
- Occupational Dermatology
- Allergology
Background:
- Bakers experience significant skin exposure to dough, spices, water, and detergents.
- Previous studies indicate a threefold increased risk of hand eczema among bakers.
Purpose of the Study:
- To diagnose hand eczema in bakers.
- To investigate the medical and social consequences of hand eczema in this occupational group.
Main Methods:
- A cohort of 2226 bakers was studied.
- A random sample of 60 bakers with reported hand eczema underwent examination.
- Methods included standardized interviews, clinical skin assessments, patch testing, prick testing (standard and bakery series), and serum analyses.
Main Results:
- 45 bakers confirmed a history of hand eczema.
- 24% reported sick leave (median 14 weeks); 29% changed occupation due to skin disease.
- Positive patch tests were observed in 19 bakers (standard allergens) and 5 (bakery allergens).
- Positive prick tests occurred in 16 bakers (standard allergens) and 10 (bakery allergens), with 9 reacting to flours.
Conclusions:
- Hand eczema in bakers has considerable medical and social consequences.
- Thorough diagnosis of contact and IgE-mediated allergies is essential.
- Preventive measures are crucial for bakers' skin health.