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Occupational dermatitis to facial personal protective equipment in health care workers: A systematic review.
Yu, Jiade; Chen, Jennifer K; Mowad, Christen M; Reeder, Margo; Hylwa, Sara; Chisolm, Sarah; Dunnick, Cory A; Goldminz, Ari M; Jacob, Sharon E; Wu, Peggy A; Zippin, Jonathan; Atwater, Amber Reck.
  • Yu J; Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • Chen JK; Department of Dermatology, Stanford University School of Medicine, Redwood City, California.
  • Mowad CM; Division of Dermatology, Geisinger Medical Center, Danville, Pennsylvania.
  • Reeder M; University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
  • Hylwa S; Departments of Dermatology, HealthPartners Institute, Hennepin Healthcare, and University of Minnesota, Minneapolis, Minnesota.
  • Chisolm S; Department of Dermatology, Emory University, Grady Memorial Hospital, Regional Telehealth Service, and Veterans Affairs Veterans Integrated Service Network 7 Southeast Network, Decatur, Georgia.
  • Dunnick CA; Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Dermatology Service, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado.
  • Goldminz AM; Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • Jacob SE; Department of Dermatology, Loma Linda University, Loma Linda, California; Department of Medicine and Pediatrics, University of California, Riverside, California.
  • Wu PA; Department of Dermatology, University of California, Davis, Sacramento, California.
  • Zippin J; Department of Dermatology, Weill Cornell Medicine, New York, New York.
  • Atwater AR; Duke Dermatology, Duke University Medical Center, Durham, North Carolina. Electronic address: atwat012@gmail.com.
J Am Acad Dermatol ; 84(2): 486-494, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33011325
ABSTRACT

BACKGROUND:

Prolonged wear of facial protective equipment can lead to occupational dermatoses.

OBJECTIVE:

To identify important causes of occupational dermatoses from facial protective equipment.

METHODS:

A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed using PubMed and Embase databases. Articles were included if they reported occupational dermatoses caused by surgical/procedure masks or N95 respirators, or both.

RESULTS:

We identified 344 articles, and 16 were suitable for inclusion in this review. Selected articles focused on facial occupational dermatoses in health care workers. Allergic contact dermatitis to the elastic straps, glue, and formaldehyde released from the mask fabric was reported. Irritant contact dermatitis was common on the cheeks and nasal bridge due to pressure and friction. Irritant dermatitis was associated with personal history of atopic dermatitis and prolonged mask wear (>6 hours). Acneiform eruption was reported due to prolonged wear and occlusion. Contact urticaria was rare.

LIMITATIONS:

Only publications listed in PubMed or Embase were included. Most publications were case reports and retrospective studies.

CONCLUSION:

This systematic review from members of the American Contact Dermatitis Society highlights cases of occupational dermatitis to facial protective equipment, including potential offending allergens. This work may help in the diagnosis and treatment of health care workers with facial occupational dermatitis.
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Assunto principal: Pessoal de Saúde / Dermatite Ocupacional / Dermatoses Faciais / Respiradores N95 / Máscaras Tipo de estudo: Diagnostic_studies / Etiology_studies / Guia de prática clínica / Observational_studies / Prognostic_studies / Risk_factors_studies / Revisão sistemática Limite: Humanos Idioma: Inglês Revista: J Am Acad Dermatol Ano de publicação: 2021 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados internacionais Assunto principal: Pessoal de Saúde / Dermatite Ocupacional / Dermatoses Faciais / Respiradores N95 / Máscaras Tipo de estudo: Diagnostic_studies / Etiology_studies / Guia de prática clínica / Observational_studies / Prognostic_studies / Risk_factors_studies / Revisão sistemática Limite: Humanos Idioma: Inglês Revista: J Am Acad Dermatol Ano de publicação: 2021 Tipo de documento: Artigo