Contact dermatitis · 2026
Occupational Contact Urticaria, Protein Contact Dermatitis and Concomitant Airway Diseases in the Finnish Register of Occupational Diseases in 2005-2020: Main Causes and Occupations at Risk.
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Ojanen Ville, Airaksinen Liisa, Suojalehto Hille, Koskela Kirsi, Pesonen Maria
Аннотация
BACKGROUND: Occupational contact urticaria (OCU) and protein contact dermatitis (PCD) may co-exist with occupational asthma (OA) and occupational rhinitis (OR) and be caused by the same allergen. These diseases are commonly caused by immediate (immunoglobulin E (IgE)-mediated) allergic sensitisation. Limited data exist on the prevalence and causes of concomitant occupational skin and airway diseases (CSAD).
OBJECTIVES: To analyse data from the Finnish Register of Occupational Diseases (FROD) for prevalence, main causes, and at-risk occupations for concomitant occupational skin and airway diseases.
METHODS: Data on recognised cases of OCU, PCD, OA and OR in the years 2005-2020 (n = 2413) were retrieved from FROD and analysed.
RESULTS: Among OCU/PCD cases, 27% had OA, OR, or both. Conversely, 10% of OA cases and 14% of OR cases had OCU/PCD. Concomitant diseases were most common in farming, animal care, and food-related jobs. Shared causative exposures were identified in 89% of cases, with cow dander, wheat flour, and chemicals being the most frequent.
CONCLUSIONS: Concomitant occupational skin and airway diseases caused by shared work-related allergens are relatively common. When evaluating patients with occupational immediate allergy, both skin and airway symptoms should be considered.
OBJECTIVES: To analyse data from the Finnish Register of Occupational Diseases (FROD) for prevalence, main causes, and at-risk occupations for concomitant occupational skin and airway diseases.
METHODS: Data on recognised cases of OCU, PCD, OA and OR in the years 2005-2020 (n = 2413) were retrieved from FROD and analysed.
RESULTS: Among OCU/PCD cases, 27% had OA, OR, or both. Conversely, 10% of OA cases and 14% of OR cases had OCU/PCD. Concomitant diseases were most common in farming, animal care, and food-related jobs. Shared causative exposures were identified in 89% of cases, with cow dander, wheat flour, and chemicals being the most frequent.
CONCLUSIONS: Concomitant occupational skin and airway diseases caused by shared work-related allergens are relatively common. When evaluating patients with occupational immediate allergy, both skin and airway symptoms should be considered.