Abstract
Occupational skin diseases (OSD) belong to the most common occupational diseases worldwide. However, there are clear indications for underdiagnosing and underreporting and thus, the magnitude of the problem is underestimated. The two most frequent OSD are occupational contact dermatitis (OCD) due to exposure to irritants and/or allergens and non-melanoma skin cancer (NMSC) arising from occupational exposure to solar ultraviolet (UV) radiation. OCD is more frequent in females and usually starts early after entering the profession. Irritant contact dermatitis is more common than allergic contact dermatitis. High-risk occupations include hairdressers, healthcare workers, metalworkers, cleaners or construction workers. NMSC due to occupational exposure to solar UV radiation affects outdoor workers who are primarily men. Due to a long latency period, NMSC usually occurs in older, often already retired individuals. Both OSDs show a chronic course and cause substantial impairments in health-related quality of life. As OCD affects primarily younger age groups, it is associated with work absenteeism, job loss and job change and thus, with a high economic burden for the society mainly related to indirect costs. In patients with NMSC, direct costs caused by treatment are usually higher than indirect costs.
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Brans, R. (2023). Epidemiology and Burden of Occupational Skin Diseases. In: Giménez-Arnau, A.M., Maibach, H.I. (eds) Handbook of Occupational Dermatoses. Updates in Clinical Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-031-22727-1_2
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