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The epidemiology of occupational contact dermatitis
Authors:T. L. Diepgen  P. J. Coenraads
Affiliation:(1) Department of Social Medicine, Center of Occupational & Environmental Dermatology, University of Heidelberg, Bergheimer Str. 58, D-69115 Heidelberg, Germany Tel.: +49-6221-568751; Fax: +49-6221-565584, DE;(2) Occupational & Environmental Dermatology Unit, Universiy Hospital Groningen, The Netherlands, NL
Abstract:Occupational contact dermatitis (OCD) ranks first of all occupational diseases in many countries. The incidence rate is believed to be around 0.5–1.9 cases per 1000 full-time workers per year. Epidemiological studies play an important role in observing disease trends, analysing risk factors, and monitoring the effect of preventive measures. In this review article the lack of truly epidemiologic data on OCD and the difficulties of those studies are illustrated. The following issues are highlighted: case ascertainment and bias, the distribution of allergic and irritant contact dermatitis in the working population, the interrelationship between exogenous (allergens, irritants) and endogenous factors, the prognosis, the social and economic impact, and the need for intervention studies. Received: 26 January 1999 / Accepted: 24 April 1999
Keywords:Occupational dermatitis  Contact dermatitis  Allergy  Irritation  Exposure  Atopy  Prevention  Prognosis  Risk
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