Hand dermatitis: a 6-year experience in a tertiary referral Brazilian hospital

IF 2.6 4区医学 Q2 DERMATOLOGY

Anais brasileiros de dermatologia Pub Date : 2025-05-01 DOI:10.1016/j.abd.2024.08.010

Larissa Relva da Fonte Gonçalves Endlich, Luciana Paula Samorano, Ricardo Spina Nunes, Vitor Manoel Silva dos Reis

{"title":"Hand dermatitis: a 6-year experience in a tertiary referral Brazilian hospital","authors":"Larissa Relva da Fonte Gonçalves Endlich, Luciana Paula Samorano, Ricardo Spina Nunes, Vitor Manoel Silva dos Reis","doi":"10.1016/j.abd.2024.08.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Hand dermatitis (HD) is a prevalent inflammatory skin disease with a significant socioeconomic impact.</div></div><div><h3>Objectives</h3><div>To characterize the population of HD patients followed up at the Department of Dermatology of a tertiary hospital.</div></div><div><h3>Methods</h3><div>A cross-sectional, retrospective and descriptive study was carried out through the analysis of medical records of HD patients assisted at the Allergy Clinic of the Department of Dermatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, between March 1, 2016 and August 31, 2022.</div></div><div><h3>Results</h3><div>Of the 175 patients, 73.3% were women, and the mean age at the onset of the condition was 41.7 years. There was a statistically significant association between occupation categories and the presence of occupational dermatitis. Cases were classified as irritant contact dermatitis (49.7%), allergic contact dermatitis (57.1%) and endogenous vesicular HD (3.4%). It was observed a statistically significant higher frequency of patch tests positivity for methylchloroisothiazolinone and methylisothiazolinone (MCI/MI) and nickel sulfate in women and for potassium bichromate and carba mix in men. DLQI was assessed in 77 patients, and the average score was 7.8 points.</div></div><div><h3>Study limitations</h3><div>As limitations, the authors point out data collection from medical records, which lacked some information. Furthermore, as this was a cross-sectional study, it was not possible to assess cause-and-effect relationships between the variables.</div></div><div><h3>Conclusions</h3><div>The present data reinforces the importance of patch tests in HD investigation and highlights the high sensitivity rates to MCI/MI and nickel sulfate in Brazilian women and to potassium bichromate and carba mix in Brazilian men patients.</div></div>","PeriodicalId":7787,"journal":{"name":"Anais brasileiros de dermatologia","volume":"100 3","pages":"Pages 439-446"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anais brasileiros de dermatologia","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0365059625000327","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DERMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Hand dermatitis (HD) is a prevalent inflammatory skin disease with a significant socioeconomic impact.

Objectives

To characterize the population of HD patients followed up at the Department of Dermatology of a tertiary hospital.

Methods

A cross-sectional, retrospective and descriptive study was carried out through the analysis of medical records of HD patients assisted at the Allergy Clinic of the Department of Dermatology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, between March 1, 2016 and August 31, 2022.

Results

Of the 175 patients, 73.3% were women, and the mean age at the onset of the condition was 41.7 years. There was a statistically significant association between occupation categories and the presence of occupational dermatitis. Cases were classified as irritant contact dermatitis (49.7%), allergic contact dermatitis (57.1%) and endogenous vesicular HD (3.4%). It was observed a statistically significant higher frequency of patch tests positivity for methylchloroisothiazolinone and methylisothiazolinone (MCI/MI) and nickel sulfate in women and for potassium bichromate and carba mix in men. DLQI was assessed in 77 patients, and the average score was 7.8 points.

Study limitations

As limitations, the authors point out data collection from medical records, which lacked some information. Furthermore, as this was a cross-sectional study, it was not possible to assess cause-and-effect relationships between the variables.

Conclusions

The present data reinforces the importance of patch tests in HD investigation and highlights the high sensitivity rates to MCI/MI and nickel sulfate in Brazilian women and to potassium bichromate and carba mix in Brazilian men patients.

查看原文本刊更多论文

手皮炎：巴西三级转诊医院6年经验。

背景：手部皮炎（HD）是一种流行的炎症性皮肤病，具有显著的社会经济影响。目的：了解某三级医院皮肤科随访的HD患者人群特征。方法：通过分析2016年3月1日至2022年8月31日期间在圣保罗大学医学院 das医院皮肤科过敏门诊就诊的HD患者的病历，进行横断面、回顾性和描述性研究。结果：175例患者中，73.3%为女性，平均发病年龄为41.7岁。职业类别与职业性皮炎的存在有统计学意义的关联。刺激性接触性皮炎（49.7%）、变应性接触性皮炎（57.1%）和内源性水泡性HD（3.4%）。观察到，在女性中，甲基氯异噻唑啉酮和甲基异噻唑啉酮（MCI/MI）和硫酸镍的贴片试验阳性频率较高，在男性中，重铬酸钾和碳水化合物混合物的贴片试验阳性频率较高。77例患者进行DLQI评估，平均评分为7.8分。研究的局限性：作为局限性，作者指出从医疗记录中收集数据，缺乏一些信息。此外，由于这是一项横断面研究，不可能评估变量之间的因果关系。结论：目前的数据强调了斑贴试验在HD调查中的重要性，并强调了巴西女性对MCI/MI和硫酸镍的高敏感性，以及巴西男性患者对重铬酸钾和碳水化合物混合物的高敏感性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Anais brasileiros de dermatologia DERMATOLOGY-

CiteScore

2.40

自引率

0.00%

发文量

184

审稿时长

32 days

期刊介绍： The journal is published bimonthly and is devoted to the dissemination of original, unpublished technical-scientific study, resulting from research or reviews of dermatological topics and related matters. Exchanges with other publications may be accepted.