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

Abstract:

BACKGROUND: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. OBJECTIVE: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. PATIENTS/MATERIALS/METHODS:In a retrospective cohort study, the medical records of 843 patients taking part in the tertiary individual prevention programme were evaluated. RESULTS: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 (OR) 1.78, 95% confidence interval (CI) 1.29-2.49], atopic hand eczema (OR 1.60, 95%CI: 1.15-2.22), hyperhidrosis (OR 1.73, 95%CI: 1.33-2.43), and the wearing of safety shoes/boots at work (OR 2.04, 95%CI: 1.46-2.87). Tobacco smoking was associated with foot eczema (OR 1.79, 95%CI: 1.25-2.57), in particular with the vesicular subtype. CONCLUSIONS:Foot eczema is common in patients with hand eczema, and is related to both occupational and non-occupational factors.

journal_name

Contact Dermatitis

journal_title

Contact dermatitis

authors

Brans R,Hübner A,Gediga G,John SM

doi

10.1111/cod.12370

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

100-7

issue

2

eissn

0105-1873

issn

1600-0536

journal_volume

73

pub_type

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