Las pruebas epicutáneas de contacto en medicina laboral

  1. Carolina Granados Rincón
  2. Nelly Machado Benavides
  3. Ana Rita Rodrigues-Barata
  4. Luis Conde-Salazar Gómez
Journal:
Medicina y seguridad del trabajo

ISSN: 0465-546X,  1989-7790

Year of publication: 2013

Volume: 59

Issue: 230

Pages: 74-84

Type: Article

DOI: 10.4321/S0465-546X2013000100004 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Medicina y seguridad del trabajo

Abstract

In occupational medicine, occupational dermatoses account for 30 to 60% of the total amount of occupational diseases and, within 80 to 90% of them correspond to contact dermatitis. This high number is not reflected in official data because in most cases, as conditions of rapid resolution or low systemic impact, they are not declared. Regarding contact dermatitis, the most common type in the workplace is the allergic type, which preferably is declared, because often results in disability. For the correct diagnosis and association with the work environment is essential to make a full history of the patient' occupational background, correct description of the skin lesions, and the use of diagnostic methods other than those of non-cutaneous processes, such as patch testing. They provide a simple, accessible and safe method for the diagnosis of allergic contact dermatitis. They include a standard national baseline series, proper of the country where the patient works, and additional extended series, specific to the occupation performed by the worker. Prevention at work is the only etiological treatment for replacement and control of occupational hazards associated with occupational skin diseases.

Bibliographic References

  • Sasseville, D. (2008). Occupational contact dermatitis. Allergy, Asthma and Clinical Immunology. 4. 59-65
  • Rycroft, RJG, Frosch, P. (2006). Textbook of contact dermatitis. Springer. London. 717
  • Pere, J. (2011). Manual de Alergia Cutánea. 1. MRA. 105-123
  • Barchino Ortiz, L, Cabrera Fernández, E, Moreno Manzano, G, Heras Mendaza, F, Conde-Salazar Gómez, L. (2007). Dermatosis profesionales en cuidadores de ancianos. Medicina y Seguridad del Trabajo. 53. 35-46
  • Gawkrodger, DJ. (2001). Patch testing in occupational dermatology. Occup Environ Med.. 58. 823-8
  • De la Fuente, I, Bell, B, Ibarz, J. (1998). Estudio epidemiológico de las dermatosis profesionales en el hospital MAZ (1993-1997). Revista Medicina del Trabajo. 7. 335,335-340
  • Conde-Salazar, L. (2005). Tratado de Medicina del Trabajo. Masson. Barcelona. 695
  • Warshaw, EM, Raju, SI, Fowler, JF, Maibach, HI, Belsito, DV, Zug, KA, Rietschel, RL, Taylor, JS, Mathias, C, Fransway, AF. (2012). Positive patch test reactions in older individuals: Retrospective analysis from the north american contact dermatitis group, 1994-2008. J Am Acad Dermatol.. 66. 229-40
  • Lachapelle, JM. (2011). Textbook of contact dermatitis. Springer. London. 1-9
  • Tato, R, Sanz, J, del Campo, M, Agulló, A. (1999). Dermatitis de contacto en el medio laboral. Medicina del Trabajo. 8. 11-17
  • Diepgen, T, Kanerva, L. (2006). Occupational skin diseases. Eur J Dermatol.. 16. 324-30
  • Conde-Salazar, L, Ancona-Alayón, A. (2004). Dermatología profesional. 1. Grupo Aula Médica. Madrid. 51-63
  • Lachapelle, J, Maibach, HI. (2012). Patch Testing and Prick Testing: A Practical Guide Official Publication of the ICDRG. Springer. London. 35-77
  • Krasteva, M, Kehren, J, Ducluzeau, MT, Sayag, M, Cacciapuoti, M, Akiba, H, Descotes, J, Nicolas, JF, Moskophidis, D, Lehmann-Grube, F. (1999). Contact dermatitis: I. Pathophysiology of contact sensitivity. EJD.. 9. 65-76
  • Chew, AL, Maibach, HI. (2003). Occupational issues of irritant contact dermatitis. Int Arch Occup Environ Health.. 76. 339-46
  • Dickel, H, Altmeyer, P, Brasch, J. (2011). "New" techniques for more sensitive patch testing?. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 9. 889-96
  • Dickel, H, Kuss, O, Schmidt, A, Diepgen, T. (2002). Occupational relevance of positive standard patch-test results in employed persons with an initial report of an occupational skin disease. Int Arch Occup Environ Health.. 75. 423-34
  • Van Der Valk, PGM, Devos, SA, Coenraads, PJ. (2003). Evidence-based diagnosis in patch testing. Contact Derm.. 48. 121-5
  • Rietschel, RL, Mathias, C, Fowler, Jr JF, Pratt, M, Taylor, JS, Sherertz, EF, Marks, Jr JG, Belsito, DV, Storrs, FJ, Maibach, HI. (2002). Relationship of occupation to contact dermatitis: Evaluation in patients tested from 1998 to 2000. American Journal of Contact Dermatitis. 13. 170-6
  • Bruze, M, Conde-Salazar, L, Goossens, A, Kanerva, L, White, IR. (2007). Thoughts on sensitizers in a standard patch test series. Contact Derm. 41. 241-250
  • Spiewak, R. (2008). Patch testing for contact allergy and allergic contact dermatitis. Open Allergy J.. 1. 42-51
  • Schnuch, A, Aberer, W, Agathos, M, Becker, D, Brasch, J, Elsner, P, Frosch, PJ, Fuchs, T, Geier, J, Hillen, U. (2008). Patch testing with contact allergens. JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 6. 770-5
  • Stevenson, C. (1989). Occupational skin disease. Postgrad Med J.. 65. 374
  • Ardusso, L. (2002). Prueba del parche: Enfoques en Asma y Alergia. Asociación Argentina de Alergia e Inmunología Clínica. 3. 7-9
  • Saint-Mezard, P, Rosieres, A, Krasteva, M, Berard, F, Dubois, B, Kaiserlian, D, Nicolas, JF. (2004). Allergic contact dermatitis. EJD.. 14. 284-95
  • Krasteva, M, Kehren, J, Ducluzeau, M, Sayag, M, Dupuis, M, Kanitakis, J, Nicolas, J. (1999). Contact dermatitis: II: clinical aspects and diagnosis. EJD.. 9. 144-59
Data source: Dialnet