Occupational Hand Dermatitis
Karagounis, Theodora K; Cohen, David E
PURPOSE OF REVIEW/OBJECTIVE:Occupational hand dermatitis is a common work-related disorder of the skin. Prevention and management of this disease is critical to improving workers' quality of life and for occupation-specific retention. RECENT FINDINGS/RESULTS:This is a critical review of the current literature on occupational hand dermatitis. Occupational dermatitis continues to have a high prevalence among workers although the overall incidence may be slowly decreasing. Irritant contact dermatitis due to wet work exposure is the most common cause of occupational hand dermatitis. Healthcare workers, hairdressers, and metal workers are at particularly high risk for this disease. While some prevention programs have been ineffective in mitigating occupational hand dermatitis, other more resource-intensive initiatives may have benefit. Continued research is needed on ways to manage wet work exposures and on scalable, effective prevention programs for occupational hand dermatitis. The spectrum of culprit contact allergens continues to evolve, and vigilance for potential occupation-specific allergens remains important.
Contact Dermatitis in the Surgical Patient: A Focus on Wound Closure Materials
Nahm, William J; Cohen, David E; Milam, Emily C
ABSTRACT/UNASSIGNED:Irritant and allergic contact dermatitis from wound closure materials can occur in patients after surgical procedures. The resulting inflammation from contact dermatitis can compromise wound healing, mimic surgical site infections, and result in wound dehiscence. Components of wound closure material, such as antibiotic coatings, dyes, sterilizing compounds, or the material itself, have been implicated as contact allergens. This article provides the latest overview of the components of 3 major forms of wound closure materials-sutures, staples, and tissue adhesives-associated with contact dermatitis, discusses their cross-reactivity, and provides diagnostic and treatment guidelines.
Wet Your Whistles: Alcohol-Induced Flushing With Use of Topical Calcineurin Inhibitors
Milam, Emily C; Cohen, David E
Localized flushing after alcohol ingestion is a reported adverse effect of 2 topical calcineurin inhibitors, tacrolimus and pimecrolimus, which are approved to treat atopic dermatitis and used off label for other dermatologic conditions. We propose techniques for alleviating this phenomenon.
Contact dermatitis and topical agents
Chapter by: Milam, Emily C.; Price, Alexandra; Ramachandran, Sarika; Cohen, David E.
in: Cosmetic Dermatology: Products and Procedures by
[S.l.] : wiley, 2022
Chronic Hand Eczema Guidelines From an Expert Panel of the International Eczema Council
Silverberg, Jonathan I; Guttman-Yassky, Emma; Agner, Tove; Bissonnette, Robert; Cohen, David E; Simpson, Eric; Wollenberg, Andreas; Thyssen, Jacob P
BACKGROUND:Assessment of chronic hand eczema (CHE) is complex and warrants standardization. OBJECTIVE:We sought to guide clinicians on the assessment of CHE. METHODS:An electronic questionnaire regarding the diagnosis and assessment of CHE was completed by councilors (n=45) of the International Eczema Council, an international group of clinicians and researchers with expertise in CHE. The survey consisted of 52 statements for consensus. RESULTS:Overall, nine statements (17.3%) had strong, twenty-three (44.2%) moderate, 12 (23.1%) low, and 8 (15.4%) very low levels of agreement. Five statements had considerable disagreement, including the value of conducting a skin biopsy (62.2% disagreement), investigating for possible type 1 reactions (60.0%), conducting a fungal culture (44.4%), finding no history of relevant allergens and/or irritants (31.1%) in most or all cases, and performing patch testing irrespective of lesion location and morphology (28.9%). Agreement was generally highest among respondents from Europe (28.6-77.8% agreement), followed by Asia (7.1%-35.7% agreement), North America (0%-35.5% agreement), and other (0%-13.3% agreement). CONCLUSIONS:There were substantial differences of agreement, suggesting there are many knowledge and/or practice gaps with respect to CHE. Future research is needed to inform evidence-based and/or consensus guidelines for CHE.
Occupational Contact Dermatitis: An Update
Milam, Emily C; Nassau, Stacy; Banta, Erin; Fonacier, Luz; Cohen, David E
Occupation contact dermatitis (CD) is a common inflammatory skin condition impacting every professional industry in the United States. It is associated with significant personal and professional distress, loss of revenue, and decreased productivity. Occupational CD is further subdivided into irritant CD and allergic CD. Frequently, workers may suffer from a combination of both types. Numerous workplace exposures are implicated, but there are several themes across professions, such as CD related to frequent handwashing and wet work. A detailed occupational history, physical examination, and patch testing can help to make the diagnosis. Treatment includes identification of the substance and avoidance, which often is quite challenging.
Dupilumab for Allergic Contact Dermatitis (ACD) and Implications for Patch Testing: Irreconcilable Differences [Letter]
Shah, Payal; Milam, Emily C; Lo Sicco, Kristen I; Cohen, David E
The Diminishing Presence of Dermatologists in the Care of Hospitalized Medicare Patients
Kakpovbia, Efe; Kim, Randie H; Cohen, David E; Ogbechie-Godec, Oluwatobi A
A Different Type of Second Wave: A Predicted Increase in Personal Protective Equipment-Related Allergic Contact Dermatitis as a Result of Coronavirus Disease 2019
Rangel, Lauren K; Cohen, David E
Why can we see our narrowband UVB lights? [Letter]
Soleymani, Teo; Soter, Nicholas A; Folan, Lorcan M; Elbuluk, Nada; Cohen, David E