Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales
Skin patch testing (PT) is a basic diagnostic tool that complements the clinical and occupational history in the evaluation of occupational dermatoses. At the Occupational Disease Ambulatory Clinic, La Victoria Unit-Aragua, we performed PT on 29 workers, using the 23-allergen Standard European Batt...
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1998
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| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=6464386 |
| Source: | Salud de los Trabajadores, ISSN 1315-0138, Vol. 6, Nº. 1, 1998, pags. 31-39 |
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Salud de los Trabajadores, ISSN 1315-0138, Vol. 6, Nº. 1, 1998, pags. 31-39
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Exposición
Dermatosis ocupacionales Pruebas de parche Batería Standard Europea (SEB) S-1000 Venezuela Eexposition Occupational dermatoses Skin patch testing Standard European Battery (SEB) S-1000 Venezuela |
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Dermatosis ocupacionales Pruebas de parche Batería Standard Europea (SEB) S-1000 Venezuela Eexposition Occupational dermatoses Skin patch testing Standard European Battery (SEB) S-1000 Venezuela Martínez, María del Carmen Rosario de Nava, Nancy Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales |
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Skin patch testing (PT) is a basic diagnostic tool that complements the clinical and occupational history in the evaluation of occupational dermatoses. At the Occupational Disease Ambulatory Clinic, La Victoria Unit-Aragua, we
performed PT on 29 workers, using the 23-allergen Standard European Battery (SEB)S-1000 and a specific battery of allergens not included in the SEB. lndications for PT included: a) occupational exposure to allergens; b) differential
diagnosis of contact irritant dermatitis; c) differential diagnosis of other eczematous skin lesions; and d) suspicion of an occupational cause in a case of contact dermatitis. Of the 29 workers, 78.5% were between the ages of 20 and
49; 65.5% were male; 34.4% worked in the metal-machining industry and 24.1% in the health sector; 48.2% were factory workers, 17.2% were administrative personnel and 10.4% were machinists. The upper extremity was the site of the skin lesions in 55% of workers. Nine workers (33%) had 2+ positive patch tests (8 on the SEB and 1 on the specific battery). A diagnosis of contact allergic dermatitis was made in 9 cases, contact irritant dermatitis in 16, lichen planus
(biopsy-proven) in 2 cases, dyshydrosis in 1 case and mycosis in another case. An occupational source was found in 19 cases, including 12 of the contact irritant dermatitis cases, 6 of the contact allergic dermatitides and the mycosis. Since 90% of all occupational skin disease consists of contact dermatitis, of which 30% is contact allergic dermatitis, it is important that occupational physicians be familiar with, and be trained in, the use of skin patch testing.
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Article
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Martínez, María del Carmen
Rosario de Nava, Nancy |
| author_facet |
Martínez, María del Carmen
Rosario de Nava, Nancy |
| author_sort |
Martínez, María del Carmen
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| title |
Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales
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| title_short |
Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales
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| title_full |
Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales
|
| title_fullStr |
Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales
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| title_full_unstemmed |
Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales
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| title_sort |
pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionales
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| publishDate |
1998
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https://dialnet.unirioja.es/servlet/oaiart?codigo=6464386
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1709750387016204288
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dialnet-ar-18-ART00012713212020-08-01Pruebas de parche como instrumento diagnóstico de las dermatitis por contacto ocupacionalesMartínez, María del CarmenRosario de Nava, NancyExposiciónDermatosis ocupacionalesPruebas de parcheBatería Standard Europea (SEB) S-1000VenezuelaEexpositionOccupational dermatosesSkin patch testingStandard European Battery (SEB) S-1000VenezuelaSkin patch testing (PT) is a basic diagnostic tool that complements the clinical and occupational history in the evaluation of occupational dermatoses. At the Occupational Disease Ambulatory Clinic, La Victoria Unit-Aragua, we performed PT on 29 workers, using the 23-allergen Standard European Battery (SEB)S-1000 and a specific battery of allergens not included in the SEB. lndications for PT included: a) occupational exposure to allergens; b) differential diagnosis of contact irritant dermatitis; c) differential diagnosis of other eczematous skin lesions; and d) suspicion of an occupational cause in a case of contact dermatitis. Of the 29 workers, 78.5% were between the ages of 20 and 49; 65.5% were male; 34.4% worked in the metal-machining industry and 24.1% in the health sector; 48.2% were factory workers, 17.2% were administrative personnel and 10.4% were machinists. The upper extremity was the site of the skin lesions in 55% of workers. Nine workers (33%) had 2+ positive patch tests (8 on the SEB and 1 on the specific battery). A diagnosis of contact allergic dermatitis was made in 9 cases, contact irritant dermatitis in 16, lichen planus (biopsy-proven) in 2 cases, dyshydrosis in 1 case and mycosis in another case. An occupational source was found in 19 cases, including 12 of the contact irritant dermatitis cases, 6 of the contact allergic dermatitides and the mycosis. Since 90% of all occupational skin disease consists of contact dermatitis, of which 30% is contact allergic dermatitis, it is important that occupational physicians be familiar with, and be trained in, the use of skin patch testing.Las Pruebas Epicutáneas o Pruebas de Parche son un instrumento diagnóstico complementario fundamental a la Historia Clínica y Laboral, además de la identificación de agentes o condiciones laborales que pudieran ser responsables de las Dermatosis Ocupacionales. En el Consultorio de Enfermedades Profesionales - Unidad La Victoria - Edo. Aragua, se aplicaron en 29 trabajadores Pruebas de Parche (PP), utilizando la Batería Standard Europea (BSE) S-1000 (con 23 alergénos) y Pruebas de Parche Dirigidas con otros alergenos no incluidos en la batería. Se consideraron los siguientes criterios para su aplicación: a) exposición laboral a sustancias alergénicas, b) diagnóstico diferencial de Dermatitis por Contacto Irritativa, c) diagnóstico diferencial con otras dermatosis eccematosas y d) establecer la relevancia laboral de la Dermatitis por Contacto. 78,5% de los trabajadores estaban entre los 20 y 49 años. 65,5% del sexo masculino. 34,4% de la industria metalmecánica y 24,1% del sector salud. 48,2% obreros, 17,2% personal de secretaria y 10,4% mecánicos. 55% de las lesiones se presentaron en miembros superiores 33% (9 casos) presentaron resultados (++) a las PP, 8 a la BSE y 1 a las PP Dirigidas. Se diagnosticaron 9 Dermatitis por Contacto Alérgicas, 16 Dermatitis por Contacto Irritativas, 2 casos de Liquen Plano (por biopsia), 1 caso de dishidrosis y un caso de micosis. En cuanto a la relevancia laboral, 19 casos fueron diagnosticados como ocupacionales (incluyendo la micosis). 12 por DxC Irritativa, 6 por DxC Alérgicas. Se considera importante el conocimiento y entrenamiento del uso de las PP en los Médicos Especialistas en Salud Ocupacional ya que 90% de las Dermatosis son Dermatitis por Contacto y 30% son DxC Alérgicas.1998text (article)application/pdfhttps://dialnet.unirioja.es/servlet/oaiart?codigo=6464386(Revista) ISSN 1315-0138Salud de los Trabajadores, ISSN 1315-0138, Vol. 6, Nº. 1, 1998, pags. 31-39spaLICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. 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