The epidemiology of hand eczema in the general population - prevalence and main findings

Numerous studies have investigated the prevalence and risk factors of hand eczema in the general population. These studies are of high value as they tend to be less biased than studies using clinical populations and as they are important for healthcare decision makers when they allocate resources. T...

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Veröffentlicht in:Contact dermatitis Jg. 62; H. 2; S. 75 - 87
Hauptverfasser: Thyssen, Jacob P., Johansen, Jeanne D., Linneberg, Allan, Menné, Torkil
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Oxford, UK Blackwell Publishing Ltd 01.02.2010
Blackwell
Wiley Subscription Services, Inc
Schlagworte:
Adolescent
Adult
Aged
Allergic diseases
Biological and medical sciences
Chemical and industrial products toxicology. Toxic occupational diseases
Child
Child, Preschool
Dermatitis
Dermatitis, Allergic Contact - epidemiology
Dermatitis, Atopic - epidemiology
Dermatitis, Occupational - epidemiology
Dermatitis, Occupational - etiology
Dermatitis, Occupational - genetics
Dermatology
Eczema
Eczema - epidemiology
Eczema - etiology
Eczema - genetics
Epidemiology
Female
general population
hand dermatitis
Hand Dermatoses - epidemiology
Hand Dermatoses - etiology
Hand Dermatoses - genetics
hand eczema
Humans
Immunopathology
Infant
Male
Medical sciences
Metals and various inorganic compounds
Middle Aged
Nickel - immunology
nickel allergy
Prevalence
public health
regulation
Risk Factors
Sex Factors
Skin allergic diseases. Stinging insect allergies
Skin involvement in other diseases. Miscellaneous. General aspects
Studies
Toxicology
Young Adult
Human
Immunopathology
Allergy
Skin disease
Prevalence
hand eczema
Transition metal
general population
Dermatitis
Epidemiology
Hand
nickel allergy
Eczema
Risk factor
Predisposition
Genetics
Nickel
Regulation
Bibliographic review
Public health
hand dermatitis
ISSN:0105-1873, 1600-0536, 1600-0536
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Zusammenfassung:Numerous studies have investigated the prevalence and risk factors of hand eczema in the general population. These studies are of high value as they tend to be less biased than studies using clinical populations and as they are important for healthcare decision makers when they allocate resources. This study aimed to review the epidemiology of hand eczema in the general population. Literature was examined using Pubmed‐Medline, Biosis, Science Citation Index, and dermatology text books. On the basis of studies performed between 1964 and 2007, the point prevalence of hand eczema was around 4%, the 1‐year prevalence nearly 10%, whereas the lifetime prevalence reached 15%. Based on seven studies, the median incidence rate of hand eczema was 5.5 cases/1000 person‐years (women = 9.6 and men = 4.0). A high incidence rate was associated with female sex, contact allergy, atopic dermatitis, and wet work. Atopic dermatitis was the single most important risk factor for hand eczema. Hand eczema resulted in medical consultations in 70%, sick leave (> 7 days) in about 20%, and job change in about 10%. Mean sick time was longer among those with allergic hand eczema than those with atopic and irritant hand eczema. Moderate to severe extension of hand eczema was the strongest risk factor for persistence of hand eczema. Other risk factors included early onset of hand eczema and childhood eczema. The aetiology of hand eczema is multifactorial and includes environmental as well as genetic factors. Future studies should focus on unresolved areas of hand eczema, for example, genetic predisposition.
Bibliographie:istex:622F1B349B49BD77E5AEBFA12CDAC259301E216A
The content has not been published previously and is not otherwise submitted for publication.
ArticleID:COD1669
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ObjectType-Article-2
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ISSN:0105-1873
1600-0536
1600-0536
DOI:10.1111/j.1600-0536.2009.01669.x