文献简介

出版社:JDDG

作  者:Thomas L. Diepgen

编  号:10.1111/j.1610-0387.2012.07890.x

关键字:occupational dermatoses,contact eczema,allergy,atopy,dermatologist’s report, prevention,diminution of working ability

年  份:2012   点击量:571

文献摘要

Occupational skin diseases are the most commonly reported notifiable occupationaldiseases. In Germany, 23 596 out of a total of 71 263 reported occupational diseases in 2010 were classified as occupational skin diseases (BK No. 5101: “severe or recurrent skin diseases which have forced the person to discontinue all occupational activities that caused or could cause the development, worsening, or recurrence of the disease”).Contact dermatitis (allergic, irritant) of the hands is the most common skin disease and atopic skin diathesis isoften an important co-factor.The number ofwork-related skin diseases is manytimes higher than the number ofnotifiedoccupational dermatoses.This CMEarticle explains the legal framework ofoccupational diseases, the tasks andobligations of the legal statutory work insurance.Typical allergens and irritantsof high risk professions are also presented as are theimportant steps fromdiagnosis to compensation. Early prevention of occupational skin diseases isvery important to avoid severe chronic hand eczema. Therefore the “dermatologist’s report” is crucial. Other occupational dermatoses (outside of BK5101)are briefly mentioned.In recent years the number of notifications ofoccupational skin cancer due to occupational UV-irradiation has increased. Accordingto recent epidemiological findings, there is a significant and consistent positive association between occupational UV-irradiation and squamous cell carcinoma.Therefore, an important criterion for a new occupational disease is fulfilled.

职业性皮肤病是一种最常被报道的重要型职业疾病。在德国,2010年总计71263份职业病报道中有23596份被归类于职业性皮肤病。(BK NO. 5101:严重或是反复性的皮肤病导致或者可能导致发展为更为严重的,恶化的反复性疾病,迫使人们终止他们所有职业行为),手部的接触性皮炎(过敏性,刺激性)是最常见的皮肤病,特应性皮肤素质往往是一个重要的辅助因子。与工作相关的皮肤病的数量几倍于被报道过的职业性皮肤病。这篇CME的文献解释了职业病、法定工作保险责任与义务的法律框架。典型过敏原和高风险职业的刺激也被提出,因为是从诊断到赔偿的重要步骤。职业性皮肤病的早期预防对避免严重的慢性手部湿疹是非常重要的。因此“皮肤科医生的报告至关重要。其他的职业性皮肤病(在 BK 5101之外的)进行了简要提及。近年来,由于职业紫外线,职业性皮肤癌报道的数量增加。根据最近的流行病研究发现,职业性紫外光辐射和鳞状细胞癌之间有显著的和一致的正相关,因此需要建立一个新的职业病的重要标准。