持久性职业后皮炎
Persistent post-occupational dermatitis作者机构：Dermatol. Res. and Educ. Ctr. Skin and Cancer Foundation 9 5 Rathdowne St. Carlton South Vic. 3053 AustraliaOccup.
出 版 物：《世界核心医学期刊文摘（皮肤病学分册）》 (Digest of the World Core Medical JOurnals:Dermatology)
年 卷 期：2005年第1卷第5期
页 面：24-24页
学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100402[医学-劳动卫生与环境卫生学] 10[医学]
主 题：持久性 致敏物 炎症状 诊断标准 诊断需要 工作环境 工作初期 持续性 内源
摘 要：Wall and Gebauer (Contact Dermatitis 1991:24:241-243) first described persi stent post-occupational dermatitis (PPOD) as ongoing dermatitis for which there is no obvious present cause, precipitated by prior occupational contact dermati tis (OCD). We propose that individuals exhibiting PPOD lose the capacity for res olution of their condition upon removal from exposure to causative agents and su bsequently develop persistent dermatitis, which can be continual or intermittent . Accordingly, we suggest modification of criterion 6 of the OCD criteria develo ped by Mathias (J Am Acad Dermatol 1989:20:842-848):’Removal from exposure initially leads to improvement of dermatitis, however, over time there may be in complete or no improvement, despite removal from exposures at work’. To satisfy the definition of PPOD, individuals must meet at least 4 of the 7 criteria, inc luding the altered criterion 6. We present 6 cases of PPOD exemplifying these sc enarios, which met the altered Mathias criteria. In some cases, subsequent failu re to recognize the initial work relatedness of their skin conditions resulted i n the termination of workers’compensation benefits. This situation is particula rly relevant in the Australian context. The diagnosis of PPOD needs to be consid ered in all individuals with work-initiated dermatitis who present with ongoing endogenous-like eczema.
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