Occupational contact dermatitis in painters and varnishers: data from the Information Network of Departments of Dermatology (IVDK), 2000 to 2019

2021-07-14

Introduction: Painters and varnishers (“painters”) are exposed to various contact allergens and skin irritants, and therefore, at risk to develop occupational dermatitis (OD). Objective: To describe the spectrum of occupational sensitizations in painters and revise corresponding current patch test recommendations.

Patients and methods: Retrospective analysis of Information Network of Departments of Dermatology (IVDK) data from 2000 to 2019 with focus on male painters with OD, aged 20-59 years (n=557) in comparison to age-matched male painters without OD (n=422) and male OD patients that have had never worked as painters (n=13862).

Results: Male painters with OD have a significantly higher rate of allergic contact dermatitis and face dermatitis than male patients with OD working in other professions. Positive patch tests to epoxy resin, methylisothiazolinone (MI), and methylchloroisothiazolinone (MCI)/MI were significantly more frequent in painters with OD than in the other groups. Epoxy resin sensitization was significantly associated with face dermatitis.

Conclusions: Epoxy resin, MI and MCI/MI represent most important occupational sensitizers in painters. In addition to baseline, resins and glues, and industrial biocides series, patients’ own workplace materials should be tested in painters with suspected OD. This article is protected by copyright. All rights reserved.

Authors: Steffen Schubert, Andrea Bauer, Uwe Hillen, Thomas Werfel, Johannes Geier, Richard Brans, IVDK, Aachen J M Baron, Aarau J Grabbe, Augsburg A Ludwig, K Siedlecki, Bad Reichenhall K Strom, Basel A Bircher, K Scherer, K Hartmann, Berlin B Frank, B Tebbe, R Treudler, Berlin Bwk A Köhler, Berlin Charité T Zuberbier, M Worm, Bern D Simon, Bielefeld I Effendy, Bochum Ch Szliska, M Straube, H Dickel, Bochum Bgfa M Fartasch, Bremen D Meyersburg, N Patsinakidis, Buxtehude P Große-Hüttmann, P Hausenblas, Dermatologikum V Martin, K Reich, K Breuer, D Vieluf, Dessau A Jung, U Lippert, Dortmund P J Frosch, B Mydlach, C Pirker, R Herbst, K Kügler, U Beiteke, Dresden G Richter, R Aschoff, P Spornraft-Ragaller, Dresden Friedrichst, A Koch, Erlangen M Fartasch, M Hertl, V Mahler, N Wagner, Essen J Dissemond, Falkenstein H Schwantes, D Vieluf, M Fischer, M Gina, Freudenberg Ch Szliska, Gera J Meyer, H Grunwald-Delitz, M Kaatz, Graz W Aberer, B Kränke, Greifswald M Jünger, Göttingen Th Fuchs, T Buhl, Halle G Gaber, D Lübbe, B Kreft, Hamburg M Kiehn, R Weßbecher, E Coors, J Witte, Hamburg Buk K Breuer, U Seemann, C Schröder-Kraft, Hannover T Schaefer, A Kapp, Heidelberg A Schulze-Dirks, M Hartmann, U Jappe, M Hartmann, K Schäkel, Heidelberg Aks H Dickel, T L Diepgen, E Weisshaar, Heilbronn H Löffler, P Amann, Homburg Saar P Koch, C Pföhler, Jena W Wigger-Alberti, M Kaatz, S Schliemann, Kiel J Brasch, Krefeld A Wallerand, M Lilie, S Wassilew, Lausanne P Spring, C Curdin, Leipzig R Treudler, Linz I Angelova-Fischer, Lippe Detmold St Nestoris, Lübeck J Grabbe, I Shimanovich, U Jappe, K Hartmann, À Recke, Mainz D Becker, Mannheim Ch Bayerl, D Booken, C-D Klemke, W Ludwig-Peitsch, A Schmieder, Marburg I Effendy, H Löffler, M Hertl, W Pfützner, Minden J Hoffmann, R Stadler, München Lmu T Oppel, B Przybilla, P Thomas, T Schuh, R Eben, S Molin, F Rueff, München Schwabing M Agathos, K Ramrath, M Georgi, K Ramrath, G Isbary, München Tu J Rakoski, U Darsow, T Biedermann, K Brockow, Münster B Hellweg, R Brehler, M Behring, Nürnberg I Müller, D Debus, A Bachtler, K Ertner, V Baur, Oldenburg M Padeken, O Kautz, U Raap, Osnabrück W Uter, S M John, H J Schwanitz, N Schürer, H Dickel, Ch Skudlik, S M John, Prager Und Partner V Martin, W Prager, Rostock H Heise, J Trcka, Stuttgart J Rieker-Schwienbacher, Tobelbad D Wilfinger, Tübingen G Lischka, M Röcken, T Biedermann, J Fischer, S Forchhammer, Ulm H Gall, G Staib, P Gottlöber, Ulm Bwk H Pillekamp, Ulm Univ-Klinik J Weiss, Würzburg J Arnold, A Trautmann, Zwickau B Knopf, D Teubner, D Mechtel, Zürich B Ballmer-Weber, A Navarini, S Micaletto, C Lang
; Full Source: Contact dermatitis 2021 Jul 14. doi: 10.1111/cod.13935.