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Prognosis of Allergic Contact Dermatitis

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Kanerva's Occupational Dermatology
  • 210 Accesses

FormalPara Core Messages
  • Occupational contact dermatitis is often multifactorial.

  • Allergic occupational contact dermatitis prognosis can be poor.

  • Allergic occupational contact dermatitis can develop into persistent occupational dermatitis.

  • Chromium and Compositae allergic contact dermatitis often has a poor prognosis.

  • Repeat patch testing over time can identify additional aggravating allergens.

1 Introduction

Often occupational contact dermatitis is multifactorial; an interplay of irritant, allergic, and endogenous factors. So the prognosis will depend upon how important the various factors are in determining the severity of the dermatitis and if their exposure can be eliminated or reduced (Adisesh et al. 2002). In the case of endogenous factors then not much can be done; the prognosis may be poor if therapeutic interventions are ineffective. Irritant contact dermatitis (see Chap. 100 on “Prognosis of Irritant Contact Dermatitis”) will often improve with exposure reduction whereas...

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References

  • Adisesh A, Meyer JD, Cherry NM (2002) Prognosis and work absence due to occupational contact dermatitis. Contact Dermatitis 46:273–279

    Article  PubMed  CAS  Google Scholar 

  • Avnstorp C (1989) Follow-up of workers from the prefabricated concrete industry after the addition of ferrous sulphate to Danish cement. Contact Dermatitis 20:365–371

    Article  PubMed  CAS  Google Scholar 

  • Cahill J, Keegel T, Dharmage S et al (2005) Prognosis of contact dermatitis in epoxy resin workers. Contact Dermatitis 52:147–153

    Article  PubMed  CAS  Google Scholar 

  • English J (2001) Current concepts in contact dermatitis. Br J Dermatol 145:527–529

    Article  PubMed  CAS  Google Scholar 

  • EU directive 2003/53/EC. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=CELEX:32003L0053:EN:HTML

  • Fregert S, Hjorth N, Magnusson B et al (1969) Epidemiology of contact dermatitis. Trans St Johns Hosp Dermatol Soc 55:17–35

    PubMed  CAS  Google Scholar 

  • Hald M, Agner T, Blands J, Johansen JD, Danish Contact Dermatitis Group (2009a) Delay in medical attention to hand eczema: a follow-up study. Br J Dermatol 161:1294–1300

    Article  PubMed  CAS  Google Scholar 

  • Hald M, Agner T, Blands J et al (2009b) Allergens associated with severe symptoms of hand eczema and a poor prognosis. Contact Dermatitis 61:101–108

    Article  PubMed  CAS  Google Scholar 

  • Holness DL, Nethercott JR (1991) Is a worker's understanding of their diagnosis an important determinant of outcome in occupational contact dermatitis? Contact Dermatitis 25:296–301

    Article  PubMed  CAS  Google Scholar 

  • Kalimo K, Lammintausta K, Jalava J, Niskanen T (1997) Is it possible to improve the prognosis in nickel contact dermatitis? Contact Dermatitis 37:121–124

    Article  PubMed  CAS  Google Scholar 

  • Mälkönen T, Jolanki R, Alanko K et al (2009) A 6-month follow-up study of 1048 patients diagnosed with an occupational skin disease. Contact Dermatitis 61:261–268

    Article  PubMed  Google Scholar 

  • Moss C, Friedmann PS, Shuster S et al (1985) Susceptibility and amplification of sensitivity in contact dermatitis. Clin Exp Immunol 61:232–241

    PubMed  CAS  Google Scholar 

  • Nicholson PJ, Llewellyn D (2010) Occupational contact dermatitis & urticaria, vol 14. British Occupational Health Research Foundation, London. http://www.bohrf.org.uk/downloads/OccupationalContactDermatitisEvidenceReview-Mar2010.pdf

  • Paulsen E, Christensen LP, Andersen KE (2007) Compositae dermatitis from airborne parthenolide. Br J Dermatol 156:510–515

    Article  PubMed  CAS  Google Scholar 

  • Ruzicka T, Lynde CW, Jemec GB et al (2008) Efficacy and safety of oral alitretinoin (9-cis retinoic acid) in patients with severe chronic hand eczema refractory to topical corticosteroids: results of a randomized, double-blind, placebo-controlled, multicentre trial. Br J Dermatol 158:808–817

    Article  PubMed  CAS  Google Scholar 

  • Thyssen JP, Johansen JD, Linneberg A, Menné T (2010) The epidemiology of hand eczema in the general population–prevalence and main findings. Contact Dermatitis 62:75–87

    Article  PubMed  Google Scholar 

  • Wall LM, Gebauer KA (1991) A follow up study of occupational skin disease in Western Australia. Contact Dermatitis 24:241–243

    Article  PubMed  CAS  Google Scholar 

  • Williams J, Cahill J, Nixon R (2007) Occupational autoeczematisation or atopic eczema precipitated by occupational contact dermatitis? Contact Dermatitis 56:21–26

    Article  PubMed  Google Scholar 

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Correspondence to John S. C. English .

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English, J.S.C. (2012). Prognosis of Allergic Contact Dermatitis. In: Rustemeyer, T., Elsner, P., John, SM., Maibach, H.I. (eds) Kanerva's Occupational Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02035-3_101

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  • DOI: https://doi.org/10.1007/978-3-642-02035-3_101

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-02034-6

  • Online ISBN: 978-3-642-02035-3

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