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Brans, Richard; Hübner, Anja; Gediga, Günther; John, Swen M.

Prevalence of foot eczema and associated occupational and non‐occupational factors in patients with hand eczema

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  • Medientyp: E-Artikel
  • Titel: Prevalence of foot eczema and associated occupational and non‐occupational factors in patients with hand eczema
  • Beteiligte: Brans, Richard; Hübner, Anja; Gediga, Günther; John, Swen M.
  • Erschienen: Wiley, 2015
  • Erschienen in: Contact Dermatitis
  • Sprache: Englisch
  • DOI: 10.1111/cod.12370
  • ISSN: 1600-0536; 0105-1873
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Summary</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Foot eczema often occurs in combination with hand eczema. However, in contrast to the situation with hand eczema, knowledge about foot eczema is scarce, especially in occupational settings.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>To evaluate the prevalence of foot eczema and associated factors in patients with hand eczema taking part in a tertiary individual prevention programme for occupational skin diseases.</jats:p></jats:sec><jats:sec><jats:title>Patients/materials/methods</jats:title><jats:p>In a retrospective cohort study, the medical records of 843 patients taking part in the tertiary individual prevention programme were evaluated.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Seven hundred and twenty‐three patients (85.8%) suffered from hand eczema. Among these, 201 patients (27.8%) had concomitant foot eczema, mainly atopic foot eczema (60.4%). An occupational irritant component was possible in 38 patients with foot eczema (18.9%). In the majority of patients, the same morphological features were found on the hands and feet (71.1%). The presence of foot eczema was significantly associated with male sex [odds ratio (<jats:styled-content style="fixed-case">OR</jats:styled-content>) 1.78, 95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>) 1.29–2.49], atopic hand eczema (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.60, 95%<jats:styled-content style="fixed-case">CI</jats:styled-content>: 1.15–2.22), hyperhidrosis (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.73, 95%<jats:styled-content style="fixed-case">CI</jats:styled-content>: 1.33–2.43), and the wearing of safety shoes/boots at work (<jats:styled-content style="fixed-case">OR</jats:styled-content> 2.04, 95%<jats:styled-content style="fixed-case">CI</jats:styled-content>: 1.46–2.87). Tobacco smoking was associated with foot eczema (<jats:styled-content style="fixed-case">OR</jats:styled-content> 1.79, 95%<jats:styled-content style="fixed-case">CI</jats:styled-content>: 1.25–2.57), in particular with the vesicular subtype.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Foot eczema is common in patients with hand eczema, and is related to both occupational and non‐occupational factors.</jats:p></jats:sec>