Skin disease in paper mill workers.

BACKGROUND Paper mill workers have frequent and prolonged exposure to skin irritants and allergens and may have a higher risk of developing occupational dermatitis. Aims The aim of this study was to determine the extent of skin problems in a paper mill and how much was attributable to contact with allergens. METHODS A cross-sectional study was carried out among 80 paper mill workers having daily exposure to skin irritants and allergens. They all completed a questionnaire, underwent a standard interview and physical examination. Workers whose history indicated possible contact allergy were patch tested and prick tested. RESULTS Workers reported a high exposure to skin irritants, especially when carrying out tasks that caused the hands and feet to become wet from perspiration and having contact with process water. Atopic dermatitis was seen in 3% of the workers. Contact dermatitis was seen in 26% of the workers and 36% were diagnosed with mycosis of the feet. All cases of contact dermatitis and mycosis could be attributed to occupational exposure to skin irritants. No cases of relevant contact allergy were seen. CONCLUSION Occupational dermatitis in paper mills is primarily related to the exposure to skin irritants. Occupational physicians should be aware of the risk of occupational dermatitis in paper mill workers.

[1]  R. Vermeulen,et al.  Ascertainment of hand dermatitis using a symptom‐based questionnaire; applicability in an industrial population , 2000, Contact dermatitis.

[2]  S. Fregert.  Registration of chemicals in industries Slimicides in the paper‐pulp industry , 1976, Contact dermatitis.

[3]  Å. Svensson,et al.  Nordic Occupational Skin Questionnaire (NOSQ‐2002): a new tool for surveying occupational skin diseases and exposure , 2003, Contact dermatitis.

[4]  K K Cohn,et al.  The use of GC/MS analysis and fungal culturing in a pulp mill industrial hygiene program. , 1984, American Industrial Hygiene Association journal.

[5]  G Molenberghs,et al.  High prevalence of foot diseases in Europe: results of the Achilles Project , 2003, Mycoses.

[6]  T. Pal.  Peilstations completeren het beeld van beroepsziekten , 2002 .

[7]  H. Williams,et al.  Epidemiology of atopic dermatitis , 2000, Clinical and experimental dermatology.

[8]  J. Efskind.  Prevalence of occupational eczema in a woodpulp factory , 1980, Contact dermatitis.

[9]  N. Cherry,et al.  Surveillance of occupational skin disease: EPIDERM and OPRA , 2000, The British journal of dermatology.

[10]  A. Lavrijsen,et al.  Evaluation of a self‐administered questionnaire on hand dermatitis , 1992, Contact dermatitis.

[11]  C Schmied,et al.  [Epidemiology of atopic dermatitis]. , 1989, Annales de dermatologie et de venereologie.

[12]  J. Gelfand,et al.  The epidemiology of atopic dermatitis. , 2003, Clinics in dermatology.

[13]  B Meding,et al.  Evaluation of skin symptoms among workers at a Swedish paper mill. , 1993, American journal of industrial medicine.

[14]  E. Grosshans,et al.  [Clinical aspects, epidemiology and economic impact of foot epidermomycosis in an industrial milieu]. , 1986, Annales de dermatologie et de venereologie.

[15]  W. Sauerbrei,et al.  Development and validation of diagnostic scores for atopic dermatitis incorporating criteria of data quality and practical usefulness. , 1996, Journal of clinical epidemiology.