Aktuelle Dermatologie 2015; 41(01/02): 20-24
DOI: 10.1055/s-0034-1391268
Eine Klinik im Blickpunkt
© Georg Thieme Verlag KG Stuttgart · New York

Individuelle Risikofaktoren für beruflich bedingte Handekzeme

Individual Risk Factors for Occupational Hand Eczema
R. Brans
Fachgebiet Dermatologie, Umweltmedizin, Gesundheitstheorie, Institut für interdisziplinäre Dermatologische Prävention und Rehabilitation (iDerm) an der Universität Osnabrück, Niedersächsisches Institut für Berufsdermatologie (NIB)
,
S. M. John
Fachgebiet Dermatologie, Umweltmedizin, Gesundheitstheorie, Institut für interdisziplinäre Dermatologische Prävention und Rehabilitation (iDerm) an der Universität Osnabrück, Niedersächsisches Institut für Berufsdermatologie (NIB)
› Author Affiliations
Further Information

Publication History

Publication Date:
10 February 2015 (online)

Zusammenfassung

Beim beruflich bedingten Handekzem handelt es sich um ein multifaktorielles Geschehen, an dem nicht nur exogene, sondern auch individuelle Faktoren beteiligt sind. Hierzu zählen u. a. die atopische Disposition, genetische Polymorphismen und der Zigarettenkonsum. Die Identifikation von Personen mit erhöhter Suszeptibilität könnte dazu dienen, möglichst frühzeitig geeignete Präventionsmaßnahmen einzuleiten. Möglicherweise kann dadurch die Entstehung der Erkrankung verhindert bzw. deren Verlauf positiv beeinflusst werden.

Abstract

Not only environmental, but also individual factors are involved in the pathogenesis of occupational hand eczema. It has been demonstrated that the presence of atopy, genetic polymorphisms and tobacco smoking have an influence on the development and course of the disease. Identifying individuals at risk may help to implement preventive measures at an early stage.

 
  • Literatur

  • 1 Diepgen TL. Occupational skin-disease data in Europe. Int Arch Occup Environ Health 2003; 76: 331-338
  • 2 Batzdorfer L, Schwanitz HJ. Direkte und indirekte Kosten berufsbedingter Hauterkrankungen. Arbeitsmed, Sozialmed, Umweltmed 2004; 11: 578-582
  • 3 Dickel H, Kuss O, Blesius CR et al. Occupational skin diseases in Northern Bavaria between 1990 and 1999: a population-based study. Br J Dermatol 2001; 145: 453-462
  • 4 Coenraads PJ. Hand eczema is common and multifactorial. J Invest Dermatol 2007; 127: 1568-1570
  • 5 Basketter DA, Jefferies D, Safford BJ et al. The impact of exposure variables on the induction of skin sensitization. Contact Dermatitis 2006; 55: 178-185
  • 6 Slodownik D, Lee A, Nixon R. Irritant contact dermatitis: a review. Australas J Dermatol 2008; 49: 1-9 quiz 10-1
  • 7 Johansen JD, Skov L, Volund A et al. Allergens in combination have a synergistic effect on the elicitation response: a study of fragrance-sensitized individuals. Br J Dermatol 1998; 139: 264-270
  • 8 Jakasa I, Koster ES, Calkoen F et al. Skin barrier function in healthy subjects and patients with atopic dermatitis in relation to filaggrin loss-of-function mutations. J Invest Dermatol 2011; 131: 540-542
  • 9 Jakasa I, de Jongh CM, Verberk MM et al. Percutaneous penetration of sodium lauryl sulphate is increased in uninvolved skin of patients with atopic dermatitis compared with control subjects. Br J Dermatol 2006; 155: 104-109
  • 10 Nassif A, Chan SC, Storrs FJ et al. Abnormal skin irritancy in atopic dermatitis and in atopy without dermatitis. Arch Dermatol 1994; 130: 1402-1407
  • 11 Thyssen JP, McFadden JP, Kimber I. The multiple factors affecting the association between atopic dermatitis and contact sensitization. Allergy 2014; 69: 28-36
  • 12 Coenraads PJ, Diepgen TL. Risk for hand eczema in employees with past or present atopic dermatitis. Int Arch Occup Environ Health 1998; 71: 7-13
  • 13 Kezic S, Visser MJ, Verberk MM. Individual susceptibility to occupational contact dermatitis. Ind Health 2009; 47: 469-478
  • 14 Dickel H, Bruckner TM, Schmidt A et al. Impact of atopic skin diathesis on occupational skin disease incidence in a working population. J Invest Dermatol 2003; 121: 37-40
  • 15 Cahill J, Keegel T, Nixon R. The prognosis of occupational contact dermatitis in 2004. Contact Dermatitis 2004; 51: 219-226
  • 16 Sandilands A, Sutherland C, Irvine AD et al. Filaggrin in the frontline: role in skin barrier function and disease. J Cell Sci 2009; 122: 1285-1294
  • 17 Kezic S, O’Regan GM, Yau N et al. Levels of filaggrin degradation products are influenced by both filaggrin genotype and atopic dermatitis severity. Allergy 2011; 66: 934-940
  • 18 Kezic S, O’Regan GM, Lutter R et al. Filaggrin loss-of-function mutations are associated with enhanced expression of IL-1 cytokines in the stratum corneum of patients with atopic dermatitis and in a murine model of filaggrin deficiency. J Allergy Clin Immunol 2012; 129: 1031-1039
  • 19 Kezic S, Kemperman PM, Koster ES et al. Loss-of-function mutations in the filaggrin gene lead to reduced level of natural moisturizing factor in the stratum corneum. J Invest Dermatol 2008; 128: 2117-2119
  • 20 Flohr C, England K, Radulovic S et al. Filaggrin loss-of-function mutations are associated with early-onset eczema, eczema severity and transepidermal water loss at 3 months of age. Br J Dermatol 2010; 163: 1333-1336
  • 21 Jungersted JM, Scheer H, Mempel M et al. Stratum corneum lipids, skin barrier function and filaggrin mutations in patients with atopic eczema. Allergy 2010; 65: 911-918
  • 22 Palmer CN, Irvine AD, Terron-Kwiatkowski A et al. Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet 2006; 38: 441-446
  • 23 Thyssen JP, Carlsen BC, Menne T et al. Filaggrin null mutations increase the risk and persistence of hand eczema in subjects with atopic dermatitis: results from a general population study. Br J Dermatol 2010; 163: 115-120
  • 24 Thyssen JP, Carlsen BC, Johansen JD et al. Filaggrin null-mutations may be associated with a distinct subtype of atopic hand eczema. Acta Derm Venereol 2010; 90: 528
  • 25 Barker JN, Palmer CN, Zhao Y et al. Null mutations in the filaggrin gene (FLG) determine major susceptibility to early-onset atopic dermatitis that persists into adulthood. J Invest Dermatol 2007; 127: 564-567
  • 26 Visser MJ, Landeck L, Campbell LE et al. Impact of Loss-of-function Mutations in the Filaggrin Gene and Atopic Dermatitis on the Development of Occupational Irritant Contact Dermatitis. Br J Dermatol 2012; 168: 326-332
  • 27 de Jongh CM, Khrenova L, Verberk MM et al. Loss-of-function polymorphisms in the filaggrin gene are associated with an increased susceptibility to chronic irritant contact dermatitis: a case-control study. Br J Dermatol 2008; 159: 621-627
  • 28 Landeck L, Visser M, Skudlik C et al. Clinical course of occupational irritant contact dermatitis of the hands in relation to filaggrin genotype status and atopy. Br J Dermatol 2012; 167: 1302-1309
  • 29 Bandier J, Ross-Hansen K, Carlsen BC et al. Carriers of filaggrin gene (FLG) mutations avoid professional exposure to irritants in adulthood. Contact Dermatitis 2013; 69: 355-362
  • 30 Novak N, Baurecht H, Schafer T et al. Loss-of-function mutations in the filaggrin gene and allergic contact sensitization to nickel. J Invest Dermatol 2008; 128: 1430-1435
  • 31 Thyssen JP, Johansen JD, Linneberg A et al. The association between null mutations in the filaggrin gene and contact sensitization to nickel and other chemicals in the general population. Br J Dermatol 2010; 162: 1278-1285
  • 32 Thyssen JP, Linneberg A, Ross-Hansen K et al. Filaggrin mutations are strongly associated with contact sensitization in individuals with dermatitis. Contact Dermatitis 2013; 68: 273-276
  • 33 Landeck L, Visser M, Skudlik C et al. No remarkable differences in rates of sensitization to common type I and IV allergens between FLG loss-of-function mutation carriers and wild-type subjects. Contact Dermatitis 2014; 70: 27-34
  • 34 de Jongh CM, John SM, Bruynzeel DP et al. Cytokine gene polymorphisms and susceptibility to chronic irritant contact dermatitis. Contact Dermatitis 2008; 58: 269-277
  • 35 Davis JA, Visscher MO, Wickett RR et al. Influence of tumour necrosis factor-alpha polymorphism-308 and atopy on irritant contact dermatitis in healthcare workers. Contact Dermatitis 2010; 63: 320-332
  • 36 Allen MH, Wakelin SH, Holloway D et al. Association of TNFA gene polymorphism at position -308 with susceptibility to irritant contact dermatitis. Immunogenetics 2000; 51: 201-205
  • 37 Landeck L, Visser M, Kezic S et al. Impact of tumour necrosis factor-alpha polymorphisms on irritant contact dermatitis. Contact Dermatitis 2012; 66: 221-227
  • 38 Landeck L, Visser M, Kezic S et al. IL1A-889 C/T gene polymorphism in irritant contact dermatitis. J Eur Acad Dermatol Venereol 2012; 27: 1040-1043
  • 39 de Jongh CM, Khrenova L, Kezic S et al. Polymorphisms in the interleukin-1 gene influence the stratum corneum interleukin-1 alpha concentration in uninvolved skin of patients with chronic irritant contact dermatitis. Contact Dermatitis 2008; 58: 263-268
  • 40 Westphal GA, Schnuch A, Moessner R et al. Cytokine gene polymorphisms in allergic contact dermatitis. Contact Dermatitis 2003; 48: 93-98
  • 41 Reich K, Westphal G, Konig IR et al. Association of allergic contact dermatitis with a promoter polymorphism in the IL16 gene. J Allergy Clin Immunol 2003; 112: 1191-1194
  • 42 Blomeke B, Brans R, Dickel H et al. Association between TNFA-308 G/A polymorphism and sensitization to para-phenylenediamine: a case-control study. Allergy 2009; 64: 279-283
  • 43 Wang BJ, Shiao JS, Chen CJ et al. Tumour necrotizing factor-alpha promoter and GST-T1 genotype predict skin allergy to chromate in cement workers in Taiwan. Contact Dermatitis 2007; 57: 309-315
  • 44 De Benedetto A, Rafaels NM, McGirt LY et al. Tight junction defects in patients with atopic dermatitis. J Allergy Clin Immunol 2011; 127: 773-786
  • 45 Ross-Hansen K, Linneberg A, Johansen JD et al. The role of glutathione S-transferase and claudin-1 gene polymorphisms in contact sensitization: a cross-sectional study. Br J Dermatol 2013; 168: 762-770
  • 46 Schnuch A, Westphal G, Mossner R et al. Genetic factors in contact allergy -- review and future goals. Contact Dermatitis 2011; 64: 2-23
  • 47 Thyssen JP, Johansen JD, Menne T et al. Effect of tobacco smoking and alcohol consumption on the prevalence of nickel sensitization and contact sensitization. Acta Derm Venereol 2010; 90: 27-33
  • 48 Lerbaek A, Kyvik KO, Ravn H et al. Incidence of hand eczema in a population-based twin cohort: genetic and environmental risk factors. Br J Dermatol 2007; 157: 552-557
  • 49 Anveden Berglind I, Alderling M, Meding B. Life-style factors and hand eczema. Br J Dermatol 2011; 165: 568-575
  • 50 Ortiz A, Grando SA. Smoking and the skin. Int J Dermatol 2012; 51: 250-262
  • 51 Meding B, Alderling M, Albin M et al. Does tobacco smoking influence the occurrence of hand eczema?. Br J Dermatol 2009; 160: 514-518
  • 52 Montnemery P, Nihlen U, Lofdahl CG et al. Prevalence of hand eczema in an adult Swedish population and the relationship to risk occupation and smoking. Acta Derm Venereol 2005; 85: 429-432
  • 53 Thyssen JP, Linneberg A, Menne T et al. The effect of tobacco smoking and alcohol consumption on the prevalence of self-reported hand eczema: a cross-sectional population-based study. Br J Dermatol 2010; 162: 619-626
  • 54 Bo K, Thoresen M, Dalgard F. Smokers report more psoriasis, but not atopic dermatitis or hand eczema: results from a Norwegian population survey among adults. Dermatology 2008; 216: 40-45
  • 55 Veien NK, Hattel T, Laurberg G. Hand eczema: causes, course, and prognosis I. Contact Dermatitis 2008; 58: 330-334
  • 56 Meding B, Alderling M, Wrangsjo K. Tobacco smoking and hand eczema: a population-based study. Br J Dermatol 2010; 163: 752-756
  • 57 Berndt U, Hinnen U, Iliev D et al. Hand eczema in metalworker trainees – an analysis of risk factors. Contact Dermatitis 2000; 43: 327-332
  • 58 Sprince NL, Palmer JA, Popendorf W et al. Dermatitis among automobile production machine operators exposed to metal-working fluids. Am J Ind Med 1996; 30: 421-429
  • 59 Kutting B, Uter W, Weistenhofer W et al. Does smoking have a significant impact on early irritant hand dermatitis in metal workers?. Dermatology 2011; 222: 375-380
  • 60 Skudlik C, Weisshaar E, Scheidt R et al. First results from the multicentre study rehabilitation of occupational skin diseases -- optimization and quality assurance of inpatient management (ROQ). Contact Dermatitis 2012; 66: 140-147
  • 61 Weisshaar E, Skudlik C, Scheidt R et al. Multicentre study ‘rehabilitation of occupational skin diseases -- optimization and quality assurance of inpatient management (ROQ)’ – results from 12-month follow-up. Contact Dermatitis 2013; 68: 169-174
  • 62 Brans R, Skudlik C, Weisshaar E et al. Association between tobacco smoking and prognosis of occupational hand eczema: a prospective cohort study. Br J Dermatol 2014; 171: 1108-1115
  • 63 Bryld LE, Hindsberger C, Kyvik KO et al. Risk factors influencing the development of hand eczema in a population-based twin sample. Br J Dermatol 2003; 149: 1214-1220
  • 64 Meding B. Differences between the sexes with regard to work-related skin disease. Contact Dermatitis 2000; 43: 65-71
  • 65 Mollerup A, Veien NK, Johansen JD. An analysis of gender differences in patients with hand eczema – everyday exposures, severity, and consequences. Contact Dermatitis 2014; 71: 21-30
  • 66 Meding B, Lindahl G, Alderling M et al. Is skin exposure to water mainly occupational or nonoccupational? A population-based study. Br J Dermatol 2013; 168: 1281-1286