Professional Documents
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INTERNATIONAL JOURNAL
OF CURRENT RESEARCH
International Journal of Current Research
Vol. 7, Issue, 01, pp.11538-11542, January, 2015
ISSN: 0975-833X
RESEARCH ARTICLE
ABSTRACT
Article History:
Allergic manifestations in the workplace, including allergic contact dermatitis, are increasingly
common. In addition, the association between skin and respiratory allergy is little reported in the
literature. We study this association through observations collected at the Service of Medicine of the
University centre of Tlemcen's work (CHUT). The aim of this work was to study dermatitis allergic
contact (DCA) and respiratory diseases of allergic allure as, as well as to propose a preventive
approach. This was
was a descriptive study that took place from January to July 2010. It includes an
analysis of working conditions and a medical survey (questionnaires, clinical examination, respiratory
functional explorations, allergy skin tests, and other paraclinical expl
exploration oriented depending on
symptomatology). The study population consists of patients having consulted in occupational
medicine service (CHUT) for which the diagnosis of occupational allergic contact dermatitis was
made at the end of this consultation, a total of 49 patients included in this study (57.1% of men,
42.9% of women) with a mean age of 37.2 10.4 years. Health and the BTP sector professionals are
the most represented (38.8% 20.5%, respectively). A history of personal atopy was found in 21% an
and
family in 14%. The proportion of the association of asthma, rhinitis, anaphylaxis to a DCA was
respectively 12.2, 61.2, 8.16%. Clinical responses were scored in 20.4% for chrome, 16.3% for latex,
in 8.1% to thiuram mix in 6% for Mercapto mix in 2% aldehyde
aldehyde and epoxy resins. There is therefore
a significant allergic risk and it is important to give attention to the identi
identication of risk and its
evaluation order to implement support and prevention strategies for this risk.
Key words:
Dermatitis of allergic contact dermatitis,
Occupational asthma,
Occupational allergens.
Copyright 2015 Zakia Meziane et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original work is properly cited.
INTRODUCTION
Occupational skin diseases are those whose cause may result in
whole or in part on the conditions under which the work is
exercised. They are one of the leading causes of illnesses at
work in many countries, they represent about nearly half of the
occupational
onal diseases and 10% of cutaneous pathology (Graut
C et Tripodi, 2001).. Indeed, according to the European
countries and the United States, 20-34%
34% of occupational
diseases are dermatoses. Their impact is estimated at 0.5-0.7
0.5
cases per 1000 workers per year (Constandt
Constandt et al., 2007). The
balance sheet of a unit of professional pathology, in the region
of Algiers (Rouiba), in 1998, reveals that occupational
dermatoses represent approximately 30% of occupational
diseases (Boumaza. I. Ghou, 2009),, thus reinforcing the trend
in industrialized countries (Constandt et al., 2007).
Occupational dermatoses (OD) represented predominantly by
(eczema contact and irritant dermatitis) contact dermatitis are
net increase due to the appearance of new allergens and the
diversification of individual processes. On the other hand, the
appearance of a superimposed allergic respiratory pathology
seems unusual and poorly understood mechanism.
*Corresponding author: Zakia Meziane
Service of Occupational Medicine, University Centre, Tlemcen, Laboratory
Toxicomed, Algreria.
11539
Zakia Meziane et al. About cases of occupational allergies detected in workers followed by the service of medicine of work of chu tlemcen
RESULTS
Clinical examination
Socio-professional characteristics
rubber
detergents
cement
disinfectants
other
Gloves: Men
PPE use:
women
Masks: men
women
11540
International Journal of Current Research, Vol. 7, Issue, 01, pp.11538-11542, January, 2015
Paraclinical exploration
11541
Zakia Meziane et al. About cases of occupational allergies detected in workers followed by the service of medicine of work of chu tlemcen
Medico-legal aspect
In total, twelve patients have been reported to the national
health insurance (CNAS) in respect of compensable
occupational diseases (MPI) tables, they are distributed as
shown in Table 5.
DISCUSSION
The study population consists of all patients for which the
diagnosis to the outcome of the consultation was occupational
allergic contact dermatitis. A total of 49 patients included in
this study, average age of 37.2 years (10.4), a little younger
than in some studies such as Haby and collar, made in Algeria,
which reported an average age of 41 years ( 11.4) (Toby
Mathias, 1989). Men are more represented than women
(57.1%).
Age
42
58
40
57
26
29
30
31
Gender
M
M
M
M
M
W
M
W
Industry
building public works
building public works
building public works
building public works
building public works
health
health
health
Work station
mason
Mason-coffreur
Mason-coffreur
maneuver
aide mason
resident physician
resident physician
Caregiver
09
54
health
Lab
ailment
Eczema, asthma
Eczema, asthma
Arorport eczema, rhinoconjunctivitis
Arorport eczema, rhinoconjunctivitis
Eczema, rhinitis, asthma
Eczema, asthma, anaphylaxis
Eczema, spasmodic cough, anaphylaxis
Eczema, rhinoconjunctivitis, breathing,
anaphylaxis
Arorport eczema, rhinoconjunctivitis
10
11
32
54
W
M
health
health
nurse
male nurse
Eczema, asthma
Urticaria, anaphylaxis
12
13
32
54
W
W
health
maintenance sector
nurse
Maid
14
56
maintenance sector
Maid
Eczema, rhinoconjunctivitis
15
31
plastics industry
technician
16
24
food sector
cook
Eczema (acropulpite),
rhinoconjunctivitis, asthma Equivalent
Protein contact dermatitis,
rhinoconjunctivitis
causative allergen
chrome
chrome
chrome
chrome
chrome
latex
latex
latex
Latex, Thiuram
mix
latex
Latex, Thiuram
mix
latex
Chrome, Additifs
caoutchouc
Chrome, Additifs
caoutch, aldhyde
Rsine poxy
Statement MCP
Latex, protines
(tomate, sardine)
Statement MCP
Statement MCP
Statement MCP
change of position
change of position
Statement TMP n50
11542
International Journal of Current Research, Vol. 7, Issue, 01, pp.11538-11542, January, 2015
REFERENCES
Boumaza, I. Ghou L. A. 2009. Conception et ralisation dun
systme dinformation pour la consultation spcialis.
organisme daccueil : service universitaire de mdecine du
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Burney, P.G., Laitinen L.A., Perdrizet, S., Huckauf, H.,
Tattersfield, A.E., Chinn, S, et al. 1989. Validity and
reapitability of the UNION, bronchial questionnaire: an
international comparison. Eur. Respir. J., 2: 940-5
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