S'abonner

Occupational dermatitis to facial personal protective equipment in health care workers: A systematic review - 11/01/21

Doi : 10.1016/j.jaad.2020.09.074 
Jiade Yu, MD a, Jennifer K. Chen, MD b, Christen M. Mowad, MD c, Margo Reeder, MD d, Sara Hylwa, MD e, Sarah Chisolm, MD f, Cory A. Dunnick, MD g, h, Ari M. Goldminz, MD i, Sharon E. Jacob, MD j, k, Peggy A. Wu, MD, MPH l, Jonathan Zippin, MD m, Amber Reck Atwater, MD n,
a Department of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 
b Department of Dermatology, Stanford University School of Medicine, Redwood City, California 
c Division of Dermatology, Geisinger Medical Center, Danville, Pennsylvania 
d University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 
e Departments of Dermatology, HealthPartners Institute, Hennepin Healthcare, and University of Minnesota, Minneapolis, Minnesota 
f Department of Dermatology, Emory University, Grady Memorial Hospital, Regional Telehealth Service, and Veterans Affairs Veterans Integrated Service Network 7 Southeast Network, Decatur, Georgia 
g Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado 
h Dermatology Service, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado 
i Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 
j Department of Dermatology, Loma Linda University, Loma Linda, California 
k Department of Medicine and Pediatrics, University of California, Riverside, California 
l Department of Dermatology, University of California, Davis, Sacramento, California 
m Department of Dermatology, Weill Cornell Medicine, New York, New York 
n Duke Dermatology, Duke University Medical Center, Durham, North Carolina 

Correspondence to: Amber Reck Atwater, MD, Duke Contact Dermatitis and Patch Testing Center, 5324 McFarland Dr, #210, Durham, NC 27707.Duke Contact Dermatitis and Patch Testing Center5324 McFarland Dr, #210DurhamNC27707

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.

Le texte complet de cet article est disponible en PDF.

Key words : acne, allergic contact dermatitis, contact dermatitis, contact urticaria, face mask, irritant contact dermatitis, mask, medical face mask, N95, N95 mask, N95 respirator, occupational dermatitis, occupational dermatoses, personal protective equipment, procedure mask, respirator, surgical mask, systematic review

Abbreviations used : ICD, ACD, HCWs, PPE


Plan


 Funding sources: None.
 Conflicts of interest: Dr Chisolm serves as a consultant for Kimberly-Clark. Dr Jacob is the founder and chief executive officer of the Dermatitis Academy and has consulted for L'Oréal and Johnson & Johnson. Drs Yu, Chen, Mowad, Reeder, Hylwa, Dunnick, Goldminz, Wu, Zippin, and Atwater have no conflicts of interest to declare.
 IRB approval status: Reviewed and determined exempt by the Duke University Health System Institutional Review Board.
 Reprints not available from the authors.


© 2020  Publié par Elsevier Masson SAS.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer
Export

    Export citations

  • Fichier

  • Contenu

Vol 84 - N° 2

P. 486-494 - février 2021 Retour au numéro
Article précédent Article précédent
  • Role of phototherapy in the era of biologics
  • Angeli Eloise Torres, Alexis B. Lyons, Iltefat H. Hamzavi, Henry W. Lim
| Article suivant Article suivant
  • Dupilumab prevents flares in adults with moderate to severe atopic dermatitis in a 52-week randomized controlled phase 3 trial
  • Joseph F. Merola, Robert Sidbury, Andreas Wollenberg, Zhen Chen, Annie Zhang, Brad Shumel, Ana B. Rossi

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

Mon compte


Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.


Tout le contenu de ce site: Copyright © 2024 Elsevier, ses concédants de licence et ses contributeurs. Tout les droits sont réservés, y compris ceux relatifs à l'exploration de textes et de données, a la formation en IA et aux technologies similaires. Pour tout contenu en libre accès, les conditions de licence Creative Commons s'appliquent.