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Fire-retardant clothing-related dermatitis
Daniela C McConnell1, Thomas J Harris, Stephen B Tucker
1Department of Dermatology, University of Texas Medical School, Houston, TX 77030, USA.
Dermatitis : Contact, Atopic, Occupational, Drug
|June 2, 2012
Summary
A refinery rash outbreak linked to fire-retardant clothing (FRC) was caused by inadequate laundering. Proper washing and wearing underclothing resolved the irritant contact dermatitis in affected workers.
Area of Science:
- Occupational Health
- Dermatology
- Textile Science
Background:
- Refinery workers experienced skin eruptions including erythema, pruritus, and scaling.
- Symptoms were localized to areas in contact with fire-retardant clothing (FRC).
Purpose of the Study:
- To establish a link between the rash outbreak and FRC use.
- To identify the specific FRC factor causing dermatitis.
- To document the resolution of the outbreak.
Main Methods:
- Employee questionnaires and examinations were conducted.
- Patch testing and pH testing of FRC were performed.
- Investigated laundering procedures for causative factors.
Main Results:
- Over 100 workers reported rashes, with a unique presentation in about a third.
- Hispanic and white workers showed a higher incidence compared to black workers.
- The rash peaked in summer months and resolved with proper FRC laundering.
Conclusions:
- The dermatitis was likely irritant contact dermatitis from improper FRC laundering.
- Correct laundering procedures are crucial for prevention.
- Wearing underclothing to prevent skin contact with sweat-moistened FRC is an effective measure.
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