Skin problems of musicians

Objective We investigated the skin problems of high revel musicians in a pr ofessional orchestra. This study was prompted by our observation of violini sts with skin changes. Methods Ninety-seven musicians were evaluated. Twelve reporting dermatitis associated with the playing of their instruments were patch tested, We also examined 20 singers (nonplayers). Results Positive patch test reactions to nickel and colophony were found in only three patients. Musicians were subject to a variety of skin problems from playing their instruments, however, such as hyperhidrosis, cheilitis, and calluses of the fingertips. Singers had skin problems including lichen planus, psoriasis, seborrheic dermatitis, and urticaria. It was thought tha t emotional factors exacerbate their problems. Conclusions The results of this survey suggest a significant incidence of o ccupational- and stress-related skin problems in musicians.