Abstract
Background: Irritant contact dermatitis is a nonspecific response of the skin to direct chemical damage that releases mediators of inflammation predominantly from epidermal cells while allergic contact dermatitis is a delayed (type 4) hypersensitivity reaction to exogenous contact antigens. Irritants can be classified as cumulatively toxic (e.g., hand soap causing irritant dermatitis in a hospital employee), subtoxic, degenerative, or toxic (e.g., hydrofluoric acid exposure at a chemical plant).
Case Presentation: A man, 23 years old, who works as a construction helper, comes to the skin clinic with complaints since about 1 year ago that he has itching, dryness and cracks on his right and left hands after contact with cement while working. The job of a construction helper is to help builders in work, prepare tools, mix cement to sand, and deliver the mortar to the masons who work and fix the tools that have been used (Monday to Saturday). Materials used are cement, sand, hoe, shovel, cement spoon, bucket, sandpaper, bricks with a work period of 2 years.
Conclusion: In this case, the right and left manus regions erythema, scale, fissure and lichenification are visible, can be look at picture 1 more lichenification predominant, deep burn like to irritant than sensitizer of allergen. Therefore many of worker feel same complaint with patient and enough time up by months to years beside on the reference upside. The Occupational Medicine Specialist Treatment for Irritant Contact Dermatitis related to work based on Fit to Work and Impairment Compensation from Occupational Disease Diagnose and Treatment Guidelines by IOMA.
Case Presentation: A man, 23 years old, who works as a construction helper, comes to the skin clinic with complaints since about 1 year ago that he has itching, dryness and cracks on his right and left hands after contact with cement while working. The job of a construction helper is to help builders in work, prepare tools, mix cement to sand, and deliver the mortar to the masons who work and fix the tools that have been used (Monday to Saturday). Materials used are cement, sand, hoe, shovel, cement spoon, bucket, sandpaper, bricks with a work period of 2 years.
Conclusion: In this case, the right and left manus regions erythema, scale, fissure and lichenification are visible, can be look at picture 1 more lichenification predominant, deep burn like to irritant than sensitizer of allergen. Therefore many of worker feel same complaint with patient and enough time up by months to years beside on the reference upside. The Occupational Medicine Specialist Treatment for Irritant Contact Dermatitis related to work based on Fit to Work and Impairment Compensation from Occupational Disease Diagnose and Treatment Guidelines by IOMA.
| Original language | English |
|---|---|
| Pages (from-to) | S161 |
| Journal | Safety and Health at Work |
| Volume | 13 |
| DOIs | |
| Publication status | Published - 1 Jan 2022 |