Skip to main content

Mechanical Causes of Occupational Skin Disease

  • Reference work entry
Kanerva's Occupational Dermatology

Abstract

Mechanical insults to the skin can result in the formation of various dermatoses.

Alterations occur mainly on the hands, feet, knees, elbows, lips, and neck.

The time allowed for adaptation determines the reaction of the skin.

The effects of trauma are modified by humidity, sweating, age, gender, nutritional status, infection, preexisting skin disease, genetic and racial factors.

Mechanical trauma may contribute to development of irritant and allergic contact dermatitis.

The presence of certain underlying diseases may result in the replication and aggravation of that disease in the area of injury (isomorphic Koebner phenomenon).

Minor lesions incurred on the job may often be disregarded as unimportant and unworthy of attention, but may consecutively cause considerable distress.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Adams RM (1985) Effects of mechanical trauma on nails. Am J Ind Med 8(4–5):273–280

    Article  PubMed  CAS  Google Scholar 

  • Ancona A, Fernandez-Diez J et al (1986) Occupationally induced psoriasis. Derm Beruf Umwelt 34(3):71–73

    PubMed  CAS  Google Scholar 

  • Argyris TS (1985) Promotion of epidermal carcinogenesis by repeated damage to mouse skin. Am J Ind Med 8(4–5):329–337

    Article  PubMed  CAS  Google Scholar 

  • Baran R, Tosti A (1993) Occupational acroosteolysis in a guitar player. Acta Derm Venereol 73(1):64–65

    PubMed  CAS  Google Scholar 

  • Basler RS (1992) Acne mechanica in athletes. Cutis 50(2):125–128

    PubMed  CAS  Google Scholar 

  • Berndt U, Hinnen U et al (2000) Hand eczema in metalworker trainees–an analysis of risk factors. Contact Dermatitis 43(6):327–332

    Article  PubMed  CAS  Google Scholar 

  • Bero SM, Busam KJ et al (2006) Cutaneous melanoma arising in a burn scar: two recent cases and a review of the literature. Melanoma Res 16(1):71–76

    Article  PubMed  Google Scholar 

  • Beukers S, van der Valk PG (2006) Idiopathic post-traumatic eczema. Contact Dermatitis 54(3):178

    Article  PubMed  Google Scholar 

  • Bjornberg A (1985) Glass fiber dermatitis. Am J Ind Med 8(4–5):395–400

    Article  PubMed  CAS  Google Scholar 

  • Bordel-Gomez MT, Miranda-Romero A (2008) Fibreglass dermatitis: a report of 2 cases. Contact Dermatitis 59(2):120–122

    Article  PubMed  Google Scholar 

  • Briggs JC (1984) The role of trauma in the aetiology of malignant melanoma: a review article. Br J Plast Surg 37(4):514–516

    Article  PubMed  CAS  Google Scholar 

  • Corazza M, Romani I et al (1998) Irritant contact dermatitis due to Dieffenbachia s.p.p. J Eur Acad Dermatol Venereol 10(1):87–89

    Article  PubMed  CAS  Google Scholar 

  • Cronin E (1995) Hand eczema. In: Rycroft RJ, Menne T, Frosch PJ (eds) Textbook of contact dermatitis, vol 2. Springer, Berlin/Heidelberg/New York, pp 207–218

    Google Scholar 

  • Destouet JM, Murphy WA (1981) Guitar player acro-osteolysis. Skeletal Radiol 6(4):275–277

    Article  PubMed  CAS  Google Scholar 

  • Dix CR (1960) Occupational trauma and skin cancer. Plast Reconstr Surg Transplant Bull 26:546–554

    Article  PubMed  CAS  Google Scholar 

  • Estlander T, Jolanki R et al (1986) Dermatitis and urticaria from rubber and plastic gloves. Contact Dermatitis 14(1):20–25

    Article  PubMed  CAS  Google Scholar 

  • Estlander T, Jolanki R et al (1994) Protective gloves. In: Menne T, Maibach HI (eds) Hand eczema. CRC Press, Boca Raton, pp 311–321

    Google Scholar 

  • Evans FJ, Schmidt RJ (1980) Plants and plant products that induce contact dermatitis. Planta Med 38(4):289–316

    Article  PubMed  CAS  Google Scholar 

  • Fischer T, Rystedt I (1983) Cobalt allergy in hard metal workers. Contact Dermatitis 9(2):115–121

    Article  PubMed  CAS  Google Scholar 

  • Fischer T, Rystedt I (1985) Hand eczema among hard-metal workers. Am J Ind Med 8(4–5):381–394

    Article  PubMed  CAS  Google Scholar 

  • Fisher AA (1979) Occupational palmar psoriasis due to safety prescription container caps. Contact Dermatitis 5(1):56

    Google Scholar 

  • Fleming M, Bergfelt W (1990) The etiology of irritant contact dermatitis. In: Jackson E, Goldner R (eds) Irritant contact dermatitis. Marcel Decker, New York, pp 41–66

    Google Scholar 

  • Fluhr JW, Kelterer D et al (2005) Additive impairment of the barrier function and irritation by biogenic amines and sodium lauryl sulphate: a controlled in vivo tandem irritation study. Skin Pharmacol Physiol 18(2):88–97

    Article  PubMed  CAS  Google Scholar 

  • Friedman SJ, Connolly SM (1986) Clarinettist’s cheilitis. Cutis 38(3):183–184

    PubMed  CAS  Google Scholar 

  • Frosch PJ, Kligman AM (1976) The chamber-scarification test for irritancy. Contact Dermatitis 2(6):314–324

    Article  PubMed  CAS  Google Scholar 

  • Gambichler T, Boms S et al (2004) Contact dermatitis and other skin conditions in instrumental musicians. BMC Dermatol 4:3

    Article  PubMed  Google Scholar 

  • Gollhausen R, Kligman AM (1985) Effects of pressure on contact dermatitis. Am J Ind Med 8(4–5):323–328

    Article  PubMed  CAS  Google Scholar 

  • Gould WM (1991) Friction dermatitis of the thumbs caused by pantyhose. Arch Dermatol 127(11):1740

    Article  PubMed  CAS  Google Scholar 

  • Hatch KL, Maibach HI (1985) Textile fiber dermatitis. Contact Dermatitis 12(1):1–11

    Article  PubMed  CAS  Google Scholar 

  • Hersle K, Mobacken H (1982) Hyperkeratotic dermatitis of the palms. Br J Dermatol 107(2):195–201

    Article  PubMed  CAS  Google Scholar 

  • Hidano A, Mizuguchi M et al (1984) Friction melanosis. Ann Dermatol Venereol 111(12):1063–1071

    PubMed  CAS  Google Scholar 

  • Hindson TC (1978) Clarinettist’s cheilitis. Br Med J 2(6147):1295

    Article  PubMed  CAS  Google Scholar 

  • Hogan D, Lane P (1986) Dermatological disorders in agriculture. Occup med State Art Rev 1:285–300

    CAS  Google Scholar 

  • Ikeda I, Kageshita T et al (1995) Multiple malignant melanoma and squamous-cell carcinoma in a burn scar. Dermatology 191(4):328–332

    Article  PubMed  CAS  Google Scholar 

  • Inui S, Itami S (2008) 2 cases of sumo wrestlers’ friction dermatitis. Contact Dermatitis 58(6):374–375

    Article  PubMed  Google Scholar 

  • Inui S, Yamamoto S et al (2002) Baseball pitcher’s friction dermatitis. Contact Dermatitis 47(3):176–177

    Article  PubMed  CAS  Google Scholar 

  • Inui S, Itami S et al (2004) Frictional dermatitis due to paper tissues. Contact Dermatitis 50(6):374–375

    Article  PubMed  CAS  Google Scholar 

  • Jolanki R, Makinen I et al (2002) Occupational irritant contact dermatitis from synthetic mineral fibres according to Finnish statistics. Contact Dermatitis 47(6):329–333

    Article  PubMed  CAS  Google Scholar 

  • Kanerva L, Estlander T (2001) Occupational post-traumatic psoriasis. Contact Dermatitis 44(5):317–318

    Article  PubMed  CAS  Google Scholar 

  • Kanerva L, Estlander T et al (1992) Contact dermatitis from telefax paper. Contact Dermatitis 27(1):12–15

    Article  PubMed  CAS  Google Scholar 

  • Kanerva L, Jolanki R et al (1995) Statistics on occupational dermatoses in Finland. Curr Probl Dermatol 23:28–40

    PubMed  CAS  Google Scholar 

  • Kanerva L, Talvi A et al (1998) Guess what! occupational contact psoriasis. Eur J Dermatol 8(3):217–218

    PubMed  CAS  Google Scholar 

  • Kaskel P, Kind P et al (2000) Trauma and melanoma formation: a true association? Br J Dermatol 143(4):749–753

    Article  PubMed  CAS  Google Scholar 

  • Kiec-Swierczynska M, Wojtczak J (2000) Occupational ceramic fibres dermatitis in Poland. Occup Med (Lond) 50(5):337–342

    Article  CAS  Google Scholar 

  • Kligman AM (1985) The chronic effects of repeated mechanical trauma to the skin. Am J Ind Med 8(4–5):257–264

    Article  PubMed  CAS  Google Scholar 

  • Kwok T, Arrandale V et al (2009) Repeated mechanical trauma to the hands: the use of anti-impaction gloves for treatment and return to work. Dermatitis 20(5):278–283

    PubMed  Google Scholar 

  • Lammintausta K, Kalimo K et al (1982) Occurrence of contact allergy and hand eczemas in hospital wet work. Contact Dermatitis 8(2):84–90

    Article  PubMed  CAS  Google Scholar 

  • Lovell C (1996) Irritant plants. In: van der Valk PG, Maibach HI (eds) The irritant contact dermatitis syndrome. CRC Press, Boca Raton, pp 87–94

    Google Scholar 

  • Mancuso G, Reggiani M et al (1996) Occupational dermatitis in shoemakers. Contact Dermatitis 34(1):17–22

    Article  PubMed  CAS  Google Scholar 

  • Mathias CG (1988) Post-traumatic eczema. Dermatol Clin 6(1):35–42

    PubMed  CAS  Google Scholar 

  • McMullen E, Gawkrodger DJ (2006) Physical friction is under-recognized as an irritant that can cause or contribute to contact dermatitis. Br J Dermatol 154(1):154–156

    Article  PubMed  CAS  Google Scholar 

  • Meneghini CL (1985) Sensitization in traumatized skin. Am J Ind Med 8(4–5):319–321

    Article  PubMed  CAS  Google Scholar 

  • Menne T (1983) Frictional dermatitis in post-office workers. Contact Dermatitis 9(2):172–173

    Article  PubMed  CAS  Google Scholar 

  • Menne T, Hjorth N (1985) Frictional contact dermatitis. Am J Ind Med 8(4–5):401–402

    Article  PubMed  CAS  Google Scholar 

  • Mills OH Jr, Kligman A (1975) Acne mechanica. Arch Dermatol 111(4):481–483

    Article  PubMed  Google Scholar 

  • Minamoto K, Nagano M et al (2002) Occupational dermatoses among fibreglass-reinforced plastics factory workers. Contact Dermatitis 46(6):339–347

    Article  PubMed  CAS  Google Scholar 

  • Moroni P, Cazzaniga R et al (1988) Occupational contact psoriasis. Derm Beruf Umwelt 36(5):163–164

    PubMed  CAS  Google Scholar 

  • Morris-Jones R, Robertson SJ et al (2002) Dermatitis caused by physical irritants. Br J Dermatol 147(2):270–275

    Article  PubMed  CAS  Google Scholar 

  • Rose RF, Lyons P et al (2009) A review of the materials and allergens in protective gloves. Contact Dermatitis 61(3):129–137

    Article  PubMed  CAS  Google Scholar 

  • Rustemeyer T, Frosch PJ (1996) Occupational skin diseases in dental laboratory technicians. (I). Clinical picture and causative factors. Contact Dermatitis 34(2):125–133

    Article  PubMed  CAS  Google Scholar 

  • Sagher F, Shanon J (1956) Sabra dermatitis; an occupational dermatitis due to prickly pear handling stimulating scabies. AMA Arch Derm 74(3):269–275

    Article  PubMed  CAS  Google Scholar 

  • Samitz MH (1985) Repeated mechanical trauma to the skin: occupational aspects. Am J Ind Med 8(4–5):265–271

    Article  PubMed  CAS  Google Scholar 

  • Susten AS (1985) The chronic effects of mechanical trauma to the skin: a review of the literature. Am J Ind Med 8(4–5):281–288

    Article  PubMed  CAS  Google Scholar 

  • Tanaka S, Halperin WE et al (1985) Skin effects of occupational kneeling. Am J Ind Med 8(4–5):341–349

    Article  PubMed  CAS  Google Scholar 

  • Wahlberg JE (1985) Occupational hyperkeratoses in carpet installers. Am J Ind Med 8(4–5):351–353

    Article  PubMed  CAS  Google Scholar 

  • Walling HW, Swick BL et al (2008) Frictional hyperkeratotic hand dermatitis responding to Grenz ray therapy. Contact Dermatitis 58(1):49–51

    Article  PubMed  Google Scholar 

  • Wilkinson DS (1979) Discoid eczema as a consequence of contact with irritants. Contact Dermatitis 5(2):118–119

    Article  PubMed  CAS  Google Scholar 

  • Wilkinson DS (1985) Dermatitis from repeated trauma to the skin. Am J Ind Med 8(4–5):307–317

    Article  PubMed  CAS  Google Scholar 

  • Wilkinson DS (1994) Introduction, definition and classification. In: Menne T, Maibach HI (eds) Hand eczema. CRC Press, Boca Raton, pp 1–12

    Google Scholar 

  • Williamson DM (1981) Skin hazards in mining. Br J Dermatol 105(Suppl 21):41–44

    Article  PubMed  CAS  Google Scholar 

  • Zuehlke RL, Rapini RP et al (1982) Dermatitis in loco minoris resistentiae. J Am Acad Dermatol 6(6):1010–1013

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richard Brans .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Brans, R. (2012). Mechanical Causes of Occupational Skin Disease. 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_78

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-02035-3_78

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-02034-6

  • Online ISBN: 978-3-642-02035-3

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics