Authors: Camille Ann L. Asuncion, MD, MBA, Kirsten Diane G. Dy-Rabo, MD, DPDS , Maria Franchesca S. Quinio, MD, DPDS , Ma. Angela M. Lavadia, MD, FPDS
Background: Occupational dermatoses are among the most commonly encountered occupational-related diseases worldwide, with housekeeping personnel among those at high risk. Disease impact to the individual and public health includes prolonged absences and unemployment leading to decreased quality of life.
Objectives: We determined the point prevalence, types, and effects on quality of life of occupational skin diseases among institutional housekeeping personnel in a selected government hospital.
Methods: A single-center, cross-sectional study was utilized. A total of 91 respondents participated in the study. A self-administered, validated questionnaire was used to inquire about skin symptoms, work history and exposures, glove use, and effect on quality of life. All respondents with self-reported symptoms of eczema underwent dermatologic evaluation and ancillary procedure/s including patch testing was performed for indicated cases.
Results: Prevalence of occupational dermatoses was 62%. The most common diagnosis was allergic contact dermatitis (56%). Most of the respondents reported itching and redness, which was mainly located on the hands (64%). Clinical findings showed a predominance of papules (48%), plaques (44%), and scales (37%). Detergent (powder and liquid) and latex gloves were the most common self-identified sensitizers. The most common contact allergen identified by patch test was nickel (34%, p=0.000) and potassium dichromate (14%, p=0.009). A total of 32% reported that their dermatologic symptoms affected their quality of life, especially their sleep (45%) during the past 12 months. Conclusion: Contact dermatitis is the most common occupational dermatosis among institutional housekeeping personnel. Self-reporting of eczema and skin symptoms strengthens the diagnosis of contact dermatitis which affects quality of life. The results of this study are an essential aid in the planning and implementation of guidelines by appropriate government and private agencies for occupational health and safety in the study population.
Asuncion CA, Dy-Rabo KD, Quinio MF, Lavadia MA. Occupational skin diseases among institutional housekeeping personnel in a government hospital. J Phil Dermatol Soc. 2018; 27(1): 34-40.
occupational skin disease, environmental and contact dermatitis, allergic contact dermatitis, institutional housekeeping personnel, patch test
1. International Labour Organization. List of Occupational Diseases (Revised 2010). Identification and Recognition of Occupational Diseases: Criteria for Incorporating Diseases in the ILO list of Occupational Diseases. 2010. Geneva: International Labor Office.
2. Brans R and John SM. Prevention of Occupational Contact Dermatitis. Expert Rev Dermatol. 2011; 6(3):241-243.
3. European Agency for Safety and Health at Work (EU-OSHA). The Occupational Safety and Health of Cleaning Workers. 2009. Luxembourg: EU-OSHA.
4. Jungbauer FHW, Van Der Harst JJ, Schuttelaar ML, Groothof JW, Coenraads PJ. Characteristics Of Wet Work In The Cleaning Industry. Contact Dermatitis. 2004; 51(3):131-134.
5. Manalang GF. Occupational Health and Safety Training of Personnel from Eleven Department of Health Hospitals in Metro Manila. Acta Med Philipp. 2010; 44(1):23-31.
6. Charles LE, Loomis D and Demissie Z. Occupational hazards experienced by cleaning workers and janitors: a review of the epidemiologic literature. Work: A Journal of Prevention, Assessment, and Rehabilitation. 2009; 34(1):105-116.
7. Lushniak B. Occupational Contact Dermatitis. Dermatol Ther. 2004; 17:272-277.
8. Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ. Fitzpatrick’s Dermatology in General Medicine. 7th ed. New York: McGrawHill, 2008.
9. Gawkrodger DJ. Patch Testing in Occupational Dermatology. Occup Environ Med. 2001; 58:823-828.
10. Johansen, J. D., Aalto-Korte, K., Agner, T., Andersen, K. E., Bircher, A., Bruze, M., et al., European Society of Contact Dermatitis guideline for diagnostic patch testing – recommendations on best practice. Contact Dermatitis. 2015; 73:195–221.
11. Nordic Occupational Group. 2002. Available online: http://www.av.se/arkiv/ neg/?AspxAutoDetectCookieSupport=1
12. Susitaival P, Flyvholm MA, Meding B, Kanerva L, Lindberg M, Svensson A,
Olafsson JH. Nordic Occupational Skin Questionnaire (NOSQ-2002): A New Tool For Surveying Occupational Skin Diseases and Exposure. Contact Dermatitis. 2003; 49:70-76.
13. Bathe A, Diepgen TL and Matterne U. Subjective illness perceptions in individuals with occupational skin disease: A qualitative investigation. Work. 2012; 43(2):159-169.
14. Holness DL and Kudla I. Workers with Occupational Contact Dermatitis: Workplace Characteristics and Prevention Practices. Occup Med. 2012; 62:455-457.
15. Sinngih SI, Lantinga H, Woest TE, Kruyt-Gaspersz JA. Occupational Hand Dermatoses in Hospital Cleaning Personnel. Contact Dermatitis. 1986; 14:14-19.
16. Mirabelli MC, Vizcaya D, Margarit AM, Anto JM, Arjona L, Barreiro E, et al., Occupational Risk Factors for Hand Dermatitis Among Professional Cleaners in Spain. Contact Dermatitis. 2012; 66:188-196.
17. Kurpiewska J, Liwkowicz J, Benczek K, Padlewska K. A Survey of Work-related Skin Diseases in Different Occupations in Poland. Int J Occup Saf Ergon. 2011; 17(2):207-214.
18. Coenraads P. Hand Eczema is Common and Multifactorial. Journal of Investigative Dermatology. 2007; 127(7):1568-1570.
19. Generao FK and Villarama C. Prevalence of Hand Eczema and Contact Allergy Among Manila-based Dentists: A Cross-Sectional Study. Journal of the Philippine Dermatological Society. 2006; 15(2):69-75.
20. Hutchings CV, Shum KW, Gawkrodger DJ. Occupational Contact Dermatitis has an Appreciable Impact on Quality of Life. Contact Dermatitis. 2001; 45(1):17-20.
21. Slodownik D, Lee A, Nixon R. Irritant Contact Dermatitis: A Review. Australasian Journal of Dermatology. 2008; 49(1): 1-11.
22. Nettis E, Colanardi MC, Soccio AL, Ferrannini A, Tursi A. Occupational irritant and allergic contact dermatitis among healthcare workers. Contact Dermatitis. 2002; 46:101-107. 23. Suneja T and Belsito D. Occupational dermatoses in health care workers evaluated for suspected allergic contact dermatitis. Contact Dermatitis. 2008; 58(5): 285290
Authors: Katrina Carmela M. Belen, MD, DPDS, Jasmin J.Jamora, MD, FPDS , Ma. Cecilia P. Ingente MD, DPDSAbstractBackground: Dermoscopy, a non-invasive diagnostic tool, has been proven to improve the diagnostic accuracy of vascular tumors since it can aid in...
A randomized, double-blind, comparative study on the safety and efficacy of virgin coconut (Cocos nucifera l.) oil against 1% hydrocortisone lotion as an anti-inflammatory and antipruritic preparation for mosquito reactions
Authors: Uy, Veronica S, MD; Gracia B. Teodosio, MD, FPDS; Ma. Teresita G. Gabriel, MD, FPDS; Mary Catherine T. Galang, MD; Mohammad Yoga A. Waskito, MD; Johannes F. Dayrit, MD, FPDS Abstract Background: Virgin coconut oil (VCO) has been reported...
Primary Cutaneous Anaplastic Large Cell Lymphoma (PC-ALCL) is a rare Non-Hodgkin lymphoma (NHL) representing approximately 9% of all cutaneous lymphomas.3 It usually manifests as a slow-growing, solitary tumor which has a tendency to regress spontaneously. However, metastasis is reported in 5-10% of cases.