SLIDE 6 - High Risk Industries

                                                                                                                                                                                    

SLIDE 7 - Work Time Lost

                                                                                                                                                                                    

SLIDE 8 - Costs

                                                                                                                     

Capas de la epidermis

• Estrato basal o germinativo.

• Estrato espinoso de Malpighi.

• Estrato granuloso.• Estrato córneo.• Manto ácido.

FUNCIONES DE LA PIEL

ÓRGANO DE LA ESTÉTICA.

ÓRGANO DE PROTECCIÓN.

ÓRGANO SENSORIAL.

FUNCIÓN TERMORREGULADORA.

METABOLISMO GENERAL

FUNCIÓN QUERATÓGENA

FUNCIÓN SEBÁCEA

FUNCIÓN MELANÓGENA

CLASIFICACIÓN

DERMATOSIS OCUPACIONALES

AGENTES BIOLÓGICOS

AGENTES FÍSICOS

AGENTES QUÍMICOS

BACTERIAS.VIRUS.RIKETSIASHONGOS.

FRICCIÓNPRESIÓN.VIBRACIÓNABRASIÓNRADIACIÓN.

DERMATITIS DE CONTACTO

DERMATITIS DE CONTACTO

• Es un tipo particular de inflamación de la piel (eccema) debida a agentes externos.

• Dermatitis alérgica por contacto.• Dermatitis irritativa por contacto.• Dermatitis tóxica por contacto.• Dermatitis fototóxica por contacto.• Dermatitis fotoalérgica por contacto

Diferencias entre dermatitis por contacto irritativas y alérgicas.

• Irritativas.• Todos los sujetos

expuestos reaccionan de forma similar.

• Su localización no desborda el sitio de contacto

• Alérgicas• Solo los sujetos

sensibilizados padecen la dermatosis.

• Las lesiones suelen dar ides, desbordando el sitio de contacto.

• Irritativas

• Tienen las lesiones aspecto monomórfico.

• Las pruebas epicutáneas dan una respuesta rápida.

• El daño es provocado por una alteración celular directa

• Alérgicas.

• Las lesiones tiene aspecto polimórfico.

• Las pruebas epicutáneas dan una respuesta tardía.

• La inflamación cutánea es producto de un proceso inmunológico.

SLIDE 15 - Routes of entry

                                                                                                                     

Contact Dermatitis, Acute por oxido de etileno.

                                                                                                                        

SLIDE 19 - Contact Dermatitis, Subacute. Por mercaptobenzotiazol

                                                                                                                        

Dermatitis crónica a Keroseno.

                                                                                                                        

Occupational Acne. Acute, Oil Folliculitis

                                                                                                                        

Oil Folliculitis Chronic, Chloracne por clordano

                                                                              

 

SLIDE 23 – Depigmentation por germicida fenólico en trabajador de Mantenimiento hospitalario.

                                                                                               

 

SLIDE 24 – Granuloma por berilio

                                                                                                                        

 

Eccrine Milliaria rubra.

                                                                                                                       

Tumores el cáncer de piel es el más común de los cánceres.

                                                                              

  

SLIDE 31 - Absolute irritant, aplicador de herbicida.                                                                              

  

SLIDE 32 - Irritant alkali

                                                                                                                        

 

SLIDE 35 – Alkalies FUERTES COMO HIDRÓXIDO DE SODIO Y POTASIO

                                                                                                                        

- Solvent, poor work practice

                                                                                                                       

Solvent, nummular eczema.

                                                                                                                       

SLIDE 38 - Chrome hole, fingers

                                                                                                                            

SLIDE 39 - Chrome hole, nasal

                                                                                                                       

 

SLIDE 40 - Cutting fluids

                                                                                                                        

 

SLIDE 41 - Cutting fluids, eczematous

                                                                                                                      

Allergy mechanisms

                                                                                                                        

Major chemical allergens

                                                                                                             

 

SLIDE 44 - Epoxy resins

                                                                                                                      

- Dermatitis del cargador del trabajo en los tobillos

                                                                                                                         

 

Dermatitis Del Zapato

                                                                                                                          

  

- Dermatitis De la Ropa

                                                                                

  

Dermatitis elástico (alergia al caucho blanqueado)

                                                                                                                          

Alergia del contacto al Tiuram del teclado de la computadora

l                                                                                                                         

 

Other Resin System (FENOLFORMALDEHIDO)

                                                                                                                       

Polyester (FIBRA DE VIDRIO)

                                                                                                                          

 

- Irritant Contact Dermatitis from Fiber Glass

                                    

    

                                                          

   

                                                          

   

SLIDE 47 - Chromium

                                                                                             

 

Chemical Accelerators in Rubber

                                                                                                   

 

Poison ivy

                                                                                                                         

Airborne chrysanthemum

                                                                         

 

Photosensitivity

                                                                                                   

 

Contact urticaria - Latex Rubber

                                                                                                                    

SLIDE 54 - Contact urticaria - Raw Fish

                                                                                                          

Tar and sunlight hyperpigmentation

                                                                                                                      

SLIDE 58 - Mechanical

                                                                                                                     

 

SLIDE 59 - Callosities

                                                                                                                       

 

SLIDE 60 - Fibrous glass

                                                                                                                     

Leather buffer

                                                                                                      

 

Chipper

                                                                                                                       

Painful white fingers

                                                                                               

Physical Agents

                                                                                                                    

 

Hot water burn

                                                                                          

  

Electrical burn

                                                                                                 

 

Frostbite

                                                                                                                     

 

Immersion foot EN SOLDADOS

                                                                                                                        

Radiodermatitis

                                                                                                                       

 

Squamous cell epithelioma

                                                                                                   

 

Biological

                                                                                                                       

- Dermatitis De Rhus

                                                                              

  

- Phytophotodermatitis por agave

                                                                              

 

SLIDE 72 - Anthrax

                                                                                                                       

 

- Dermatitis Alérgico De la Planta

                                   

                                             

- Hoja De la Hiedra Del Veneno

                                                                        

                                                

Síndrome de Urticaria del contacto a los pescados crudos

                                                                                                                          

Reacción De los Pescados Crudos

                                                                                                          

Sporotrichosis

                                                                                                                       

Mycetoma

                                                                                                                       

Herpetic fingers

                                                                                                          

  

Micobacteria marinum (peces tropicales)

                                                                                                                      

- Milker's nodule

                                                                                                                             

 

Orf, a viral dermatoisi, is acquired from contact with infected sheep.                                                                                                                     .

Tick bite

                                                                                                                       

 

Tick bite reaction

                                                                                                                       

 

Nail disorder, traumatic

                                                                                                               

-

Wet work, nails. Jobs that require repeated exposure to wet work frequently result in Paronychial.                                                                             

- Kerion por Tricophiton Verrucoso

                                                                                                                 

 

Traumatic alopecia

                                                                                                                       

  

Acroosteolysis, clinical PVC

                                                                                                         

Acroosteolysis, x-rays

                                                                                                                        

 

Predisposing factors

                                                                                                             

Women in industry

                                                                                                                     

Acne prone

                                                                                                                     

Poor hygiene

                                                                                                                        

- Axillary intertrigo

                                                                             

  

Atopic

                                                                                                                      

SLIDE 98 - Work History

                                                                                                                     

Diagnostic Studies

                                                                                                         

      

Serie estándar de pruebas epicutáneas.

• Dicromato potásico al 0.5% en vaselina.• p-fenilenodiamina 1% en vaselina.• Mezcla de tiuram en vaselina.• Neomicina al 20% en vaselina.• Cloruro de cobalto al 1% en vaselina.• Mezcla de caínas en vaselina.• Sulfato de níquel al 2.5% en vaselina.• Quinoformo al 5% en vaselina.• Pez griega al 20% en vaselina.• Parabenos en vaselina.• Mezcla PPD (caucho) en vaselina.• Lanolinas al 30% en vaselina.• Mezcla MBT en vaselina.• Resinas epoxídicas.• Bálsamo del Perú al 25%.• Peróxido de trementina.• Formaldehidos 2% en vaselina.• Alquitranes de madera en vaselina

- Patch test

                                                                              

Cuidados

• No bañarse o lavarse la espalda.• Evitar el ejercicio corporal.• Evitar el roce con los parches.• Evitar rascar zonas enrojecidas y pruriginosas• Evitar la exposición a la luz solar y lámparas

ultravioletas.• En caso de aflojarse el esparadapo notificarlo.• En caso de aparecer lesiones en el área de

estudio en tres semanas posteriores, notificarlo.

Lectura de resultados

• +? Reacción dudosa, solo ligero eritema.

• + positiva débil (no vesicular) eritema, infiltración, posiblemente pápulas.

• ++ reacción positiva fuerte, se agregan vesículas.

• +++ reacción ampollar.

• - reacción negativa.

Prevention

                                                                                                                 

Walk-through survey

                                                                                                                      

Closed systems

                                                          

 

Ventilation

                                                                                                                       

Worker washing hands

                                                                                                                     

Protective gear

                                                                                                                      

Personal protective

                                                                                                                       

Barrier creams