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Updated: May 30, 2026

Cigarette Smoke Exposure in Mice using a Whole-Body Inhalation System
Published on: October 22, 2020
Does smoking have a significant impact on early irritant hand dermatitis in metal workers?
B Kütting1, W Uter, W Weistenhöfer
1Institute and Outpatient Clinic of Occupational, Social and Environmental Medicine, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, Germany. birgitta.kuetting@ipasum.uni-erlangen.de
Background:
Although they know the long-term complications of smoking, many smokers require additional motivation for entering a smoking cessation programme. At the same time, smoking is considered a possible promoting factor for various skin diseases.
Objective:
The present study assesses the impact of smoking on occupational hand dermatitis in a high-risk population.
Material And Methods:
1,355 metal workers, 97.3% of them shift workers, took part in a standardized interview and a dermatological examination of their hands. A subgroup of 1,020 males was willing to be followed-up for 1 year. Of those, 78.3% could be included in the final assessment.
Results:
Compared to the general German adult population the percentage of smokers was increased (41.7% at baseline). Probably due to self-selection bias and to a higher drop-out rate, the proportion of smokers was significantly lower at follow-up. Compared to nonsmokers, smokers had significantly higher score values for both erythematous lesions and vesicles.
Conclusion:
The present data might give additional support for occupational physicians or dermatologists to convince workers to quit smoking.
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