Dermatoses

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Dermatoses

Jennifer L. Schneider, Sc. D., CIH

Definitions:
 Dermatoses - any abnormal condition of the

skin, ranging from the mildest redness, itching, or scaling to an eczematous, ulcerative, acneform, pigmentary, granulomatous, or neoplastic disorder.  Dermatitis - refers to any inflammation of the skin, such as contact dermatitis or cement dermatitis

Anatomy of the Skin


 Largest organ of the body (1.8 m2 surface

area, 15% of total body weight)  Layers:




Epidermis


Four cell types keratinocytes, melanocytes, langerhans' cells, merkel cells.

 

Dermis Subcutaneous

Physiology & Function:


 Response to UV  Absorption of solutions

Causes of Occupational Skin Disease


 chemical  mechanical  physical  biological  botanical

Classes of skin disease or reaction


1) Contact dermatitis 2) Photosensitivity 3) Occupational acne 4) Pigmentary abnormalities hyperpigmentation hypopigmentation 5) Sweat-induced reactions 6) Cutaneous tumors 7) Ulcerations 8) Granulomas 9) Alopecia 10) Nail disease nail discoloration nail dystrophy 11) Systemic intoxication some chemicals can absorb through skin and cause systemic intoxication

Dermatitis
 Contact dermatitis
 

Primary irritants Allergic Contact Dermatitis

Burns:
Classification First-degree burns Second-degree burns Third-degree burns Special types of burns (cement and HF)

Defense Mechanisms
1) Against bacteria - skin is naturally dry terrain and normal contingent bacteria on skin destroy pathogenic bacteria. Free fatty acids in surface oil also have antibacterial value. 2) Against sunlight - increase pigmentation and thickening of stratum corneum. 3) Against primary irritants - buffering action of surface components such as amino acids, lactic acid, etc. Sweat act as dilutent, but also enhances hydration. 4) Against injury - skin's resilience in dermis provides resistance to forceful impact. 5) Against excessive increase or decrease in body heat. 6) Against absorption of chemicals through skin.

Control:
 Environment  Personal Cleanliness  PPE

INCIDENCE
 Occupational dermatological injuries: 98% are injuries and 2% are    

diseases. Highest percentage of injuries from lacerations and punctures, next burns, then abrasions, etc Major industrial divisions: incidence of occupational dermatoses by industry group for US- highest incident rate was in agriculture, next manufacturing, then construction, etc Causal agents in dermatitis: Plants, trees, vegetables lead, next chemicals, then soap and detergents Lost workdays: Poultry dressing plants had highest number of lost workdays, next meat packing plants, then fabricated rubber products, etc. Hazardous industrial processes: Most hazardous process is machine tool operations using cutting oils and coolants, next plastics manufacturing, then rubber manufacturing, etc.

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