Occupational Dermatoses in Parachute Riggers: A Cross-Sectional Observational Study

IF 4.8 1区医学 Q2 ALLERGY

Contact Dermatitis Pub Date : 2025-02-06 DOI:10.1111/cod.14763

V. K. Sashindran, Rohit Kothari, Rahul Kumar

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引用次数: 0

Abstract

Background

Parachute riggers are specialised tradesmen involved in packing parachutes. Occupational dermatoses have never been studied in them despite their job entailing hard manual work.

Objectives

To observe, diagnose, record and characterise various hand and nail changes and diseases in parachute riggers.

Methods

Parachute riggers working at Paratrooper Training School (PTS), Agra, India, consenting to participate in the study were enrolled. A brief history and hand and nail changes seen using a hand-lens were recorded. Data were analysed using R-Project for Statistical Computing version R 3.6.2 for Windows.

Results

A total of 76 participants were examined. The mean age was 29.6 years and the mean duration of employment was 29.7 months. All were males. Callosities and loss of cuticle were the commonest abnormalities present in 61 (80.2%) and 57 (75%) participants, respectively. Other common changes were pitted scars 24 (31.5%), xeroderma 23 (30.2%), pigmentary changes 21 (27.6%), onychoschizia 10 (13.1%) and splinter haemorrhages 5 (6.5%). The most common diseases observed were dermatitis (21%) and onychomycosis. The odds ratio for occurrence of callosities decreased with age (OR 0.889, 95% CI 0.825–0.957, p = 0.002). Spearman's rank coefficient of correlation showed a statistically significant negative association between the number of hand and nail changes observed and duration of employment (Spearman's ρ = − 0.25, p = 0.03).

Conclusion

Most of the changes observed were secondary to repeated friction, pressure and dryness of hands. Emphasising adequate corrective measures involving barrier creams, good quality gloves and health education may significantly reduce the incidence of these changes.

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跳伞工职业性皮肤病：一项横断面观察研究。

背景：降落伞装配工是专门从事包装降落伞的商人。尽管他们的工作需要艰苦的体力劳动，但从未对职业性皮肤病进行过研究。目的：观察、诊断、记录和描述降落伞系索人手和指甲的各种变化和疾病。方法：招募在印度阿格拉伞兵训练学校（PTS）工作并同意参与研究的伞具装配工。记录了使用手镜观察的简史和手部和指甲的变化。数据分析使用R- project for Statistical Computing version R 3.6.2 for Windows。结果：共检查了76名参与者。平均年龄29.6岁，平均工作时间29.7个月。所有人都是男性。胼胝质和角质层丢失是最常见的异常，分别出现在61（80.2%）和57（75%）名参与者中。其他常见的变化为斑点疤痕24例（31.5%），干皮病23例（30.2%），色素改变21例（27.6%），甲裂10例（13.1%），裂出血5例（6.5%）。最常见的疾病是皮炎（21%）和甲癣。愈伤发生的比值比随年龄的增加而降低（OR 0.889, 95% CI 0.825-0.957, p = 0.002）。Spearman等级相关系数显示，观察到的手和指甲变化数量与就业时间呈统计学显著负相关（Spearman ρ = - 0.25, p = 0.03）。结论：观察到的大部分变化是继发于手的反复摩擦、压力和干燥。强调适当的纠正措施，包括防护霜、优质手套和健康教育，可以显著减少这些变化的发生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contact Dermatitis 医学-过敏

CiteScore

4.60

自引率

30.90%

发文量

227

审稿时长

4-8 weeks

期刊介绍： Contact Dermatitis is designed primarily as a journal for clinicians who are interested in various aspects of environmental dermatitis. This includes both allergic and irritant (toxic) types of contact dermatitis, occupational (industrial) dermatitis and consumers" dermatitis from such products as cosmetics and toiletries. The journal aims at promoting and maintaining communication among dermatologists, industrial physicians, allergists and clinical immunologists, as well as chemists and research workers involved in industry and the production of consumer goods. Papers are invited on clinical observations, diagnosis and methods of investigation of patients, therapeutic measures, organisation and legislation relating to the control of occupational and consumers".