Getting a Grip on Occupational Hand Dermatitis: Key Considerations for Evaluation and Management

Occupational hand dermatitis (HD) is a chronic refractory hand eczema that is caused or exacerbated by workplace exposures. The hands are uniquely vulnerable to dermatitis from exposure to allergens and irritants in the workplace, including metals, preservatives, acrylates, rubber accelerators, food, water, plants, and fragrances. In occupational allergic contact dermatitis (ACD), patch testing plays a critical role in identifying contact allergens to help guide avoidance strategies that are key for clinical improvement. A coordinated return-to-work plan is essential for managing patients with occupational HD. In this article, we review practical considerations for evaluation and management of occupational HD, highlighting relevant exposures and pearls on workup and management.