U. Berndt et al., Role of the atopy score and of single atopic features as risk factors for the development of hand eczema in trainee metal workers, BR J DERM, 140(5), 1999, pp. 922-924
This study was performed as part of PROMETES (Swiss Prospective Metal Worke
r Eczema Study) to examine the role of atopy as a possible risk factor for
the development of hand eczema in trainee metal workers. In a cohort of 201
young men without any skin problems at the start of their apprenticeship,
9.5% developed signs of dermatitis on their hands within a period of 6 mont
hs, The 2.5-year incidence was 23%. We did not find a significantly increas
ed risk for hand eczema in those participants with an atopic skin diathesis
according to the atopy score of Diepgen et al, (Dermatosen 1991; 39: 79-83
) Analysis of individual atopic signs and symptoms showed reported metal re
activity to have a significant influence on the onset of early skin damage
within 6 months, whereas a history of flexural eczema appeared to be signif
icantly related to the overall incidence over 2.5 years.