Determinants of current hand eczema: results from case-control studies nested in the PACO follow-up study (PACO II)

Background: Hand eczema is often a result of the interplay of exogenous and endogenous risk factors. Epidemiological studies demonstrating the interrelationship between these factors are lacking. Objective: To analyse risk factors associated with current hand eczema and current irritant hand eczema...

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Hauptverfasser: Apfelbacher, Christian (VerfasserIn) , Funke, Ulrich (VerfasserIn) , Radulescu, Magda (VerfasserIn) , Diepgen, Thomas L. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 10 May 2010
In: Contact dermatitis
Year: 2010, Jahrgang: 62, Heft: 6, Pages: 363-370
ISSN:1600-0536
DOI:10.1111/j.1600-0536.2010.01729.x
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1111/j.1600-0536.2010.01729.x
Verlag, lizenzpflichtig, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1600-0536.2010.01729.x
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Verfasserangaben:Christian J. Apfelbacher, Ulrich Funke, Magda Radulescu and Thomas L. Diepgen

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520 |a Background: Hand eczema is often a result of the interplay of exogenous and endogenous risk factors. Epidemiological studies demonstrating the interrelationship between these factors are lacking. Objective: To analyse risk factors associated with current hand eczema and current irritant hand eczema in two case-control studies nested in a long-term follow-up study in the car industry. Patients/Materials/Methods: Eligible participants were individuals who had been followed until the end of their apprenticeship in the original cohort study (1990-1998, N = 1909). Participants were interviewed and underwent dermatological examination. Two case-control studies were nested within the cohort, one using current hand eczema cases (n = 110) and one using current irritant hand eczema cases (n = 57). Multivariable modelling was performed. Results: The only significant finding was a positive association of atopic skin diathesis with hand eczema in both studies. Wet work ≥2 hr/day was positively related to current irritant hand eczema. Age and having an office job were inversely related to hand eczema. Conclusions: Atopic skin diathesis was the most important determinant of hand eczema. Constitution seems to play a dominant role compared with environmental and occupational hazards in a setting where skin protection measures are well established. 
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