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  • Title: Occupational contact dermatitis in tertiary university hospital: a 5-year retrospective study.
    Author: Boonchai W, Thanomkitti K, Kasemsarn P.
    Journal: J Med Assoc Thai; 2014 Nov; 97(11):1182-8. PubMed ID: 25675684.
    Abstract:
    BACKGROUND: Thailand, an agricultural country developing into an industrial country, has diferences in work environment, substance exposure, and climate. These factors may lead to a distinct epidemiology of occupational contact dermatitis (OCD). OBJECTIVE: To study the prevalence of allergic and irritant occupational contact dermatitis in Thailand. MATERIAL AND METHOD: The records of patients diagnosed of OCD and patch tested between 2006 and 2010 at Siriraj University Hospital were retrospectively reviewed. RESULTS: From 885patch tested patients, 194 (21.9%) had OCD. Of those 194 patients, 76.8% were female and23.2% were male. Allergic contact dermatitis (ACD; 76.3%) wasfoundto be more common than irritant contact dermatitis (ICD; 24.2%). The common affectedpart was hands (51.5%). The mostfrequent occupation was wet work (35.1%), followed by office work (24.7%), industrial work (16%), and medical personnel (13.4%). The most common occupational allergens were nickel sulfate (33.1%), potassium dichromate (19.6%), and carba mix (15.5%). Water (56.1%), foods (4.9%), and oil/grease (2.4%) were the most common occupational irritants. CONCLUSION: In our setting, allergic OCD was more common than irritant OCD. Nickel sulfate was the most common occupational allergen. Occupational A CD and lCD are most commonly found in industrial work and wet works, respectively.
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