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Ho Seok Suh 2 Articles
Nickel dust-induced occupational contact dermatitis by welding and grinding work in shipyard workers: a report of nine cases
Daehwan Kim, A Ram Kim, Hanjun Kim, Sunghee Lee, Byeonghak Seo, Ho Seok Suh, Chang Sun Sim, Heun Lee, Cheolin Yoo
Ann Occup Environ Med 2022;34:e7.   Published online March 24, 2022
DOI: https://doi.org/10.35371/aoem.2022.34.e7
AbstractAbstract AbstractAbstract in Korean PDFPubReaderePub
Background

Occupational skin diseases are skin conditions that occur or worsen in relation to work and known to be the second most common type of occupational disease affecting individuals in the United States. In Korea, epidemiological reports related to occupational skin diseases are rare. But, no cases of occupational contact dermatitis caused by welding and grinding work have been reported previously.

Case presentation

Nine male workers working in the production department for liquefied natural gas (LNG) ships in Ulsan complained of erythematous papules/patches and itching in various areas of the body after welding and grinding work. The work environment monitoring report revealed that the amount of nickel dust exceeded the time weighted average (TWA) and poor local ventilation status. Based on the symptoms and the overall results of surveys, several tests, and work environment monitoring report, the 2 workers who had positive patch-test reactions to nickel were diagnosed with nickel dust-induced allergic contact dermatitis. The other 7 workers were diagnosed that there was a high probability that they had nickel dust-induced irritant contact dermatitis. The 2 workers who had nickel dust-induced allergic contact dermatitis were recommended to switch their jobs.

Conclusions

Nickel is one of the most common cause of allergic contact dermatitis. In this case, the dust was assumed to be created by welding work with a high nickel content new welding rod and subsequent grinding work, and the concentration of this dust exceeded the time weighted average. Thus, it is thought that the nickel dust may have caused contact dermatitis through continuous contact with the workers' exposed skin in a poorly ventilated space. Currently, several domestic shipbuilding companies are manufacturing LNG tankers using a new construction method. Consequently, it is highly likely that similar cases will occur in the future, which makes this case report meaningful.

조선소에서 용접 및 그라인더 작업 중 발생한 니켈 분진에 의한 직업성 접촉피부염 사례 : 9 cases
배경
직업성 피부질환은 업무와 관련되어 발생하거나 악화하는 피부질환을 말하며 미국에서 직업성 질환 중 2번째로 흔한 질환으로 알려져 있다. 국내에서는 직업성 피부질환과 관련하여 역학적인 보고는 가끔 있었으나, 용접/사상 작업을 하는 근로자들에게서 니켈에 의한 직업성 접촉피부염이 발생한 보고는 없었다.
증례
울산 소재의 한 조선회사의 LNG선 생산부에 근무 중인 9명의 남성 근로자가 용접/사상 작업 후 여러 국소 부위에 발진 및 가려움을 호소했다.
작업환경측정 보고에 따르면 니켈 분진의 양이 한계 수준을 초과했고 국소 환기 상태가 불량한 것으로 나타났다.
직업성 피부염의 증상, 문진, 여러 검사 결과, 작업환경측정 결과 등을 고려하였을 때 우리는 니켈에 양성 반응을 보인 2명을 니켈 분진에 의한 알레르기접촉피부염으로 진단하였다. 다른 7명은 니켈 분진에 의한 자극접촉피부염 가능성이 높음으로 진단하였다. 니켈 분진에 의한 알레르기접촉피부염으로 진단한 2명에게 작업 전환을 권고하였다.
고찰
니켈은 직업 환경 및 일반 인구에서 피부에 노출 시 발생하는 알레르기접촉피부염의 가장 흔한 원인이다. 본 사례에서 높은 니켈함유량을 가진 새로운 용접봉을 이용한 용접작업 및 이어진 사상 작업으로 인해 고농도의 니켈 분진이 발생한 것으로 추정되며, 이 분진의 농도는 기준치를 초과했다. 따라서 환기가 잘 되지 않는 공간에서 니켈 분진이 근로자들의 노출된 피부에 지속적으로 닿아 접촉피부염을 일으켰을 것으로 생각된다. 현재 국내 여러 조선사들이 새로운 공법으로 LNG 탱크를 생산하고 있다. 결과적으로 우리의 사례와 유사한 여러 사례가 향후 발생할 가능성이 매우 높아 이를 보고하는 바이다.

Citations

Citations to this article as recorded by  
  • Numerical simulation of the collection efficiency of welding fume particles in electrostatic precipitator
    Yindong Song, Yuni Zhang, Yiliang Liu, Wangyang Long, Kun Tao, Kambiz Vafai
    Powder Technology.2023; 415: 118173.     CrossRef
  • Metal Allergy: State-of-the-Art Mechanisms, Biomarkers, Hypersensitivity to Implants
    Magdalena Zemelka-Wiacek
    Journal of Clinical Medicine.2022; 11(23): 6971.     CrossRef
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Prevalence and Risk Factors of Tinea Pedis in Workers of Shipbuilding Industry
Ho Seok Suh, Cheol In Yoo, Choong Ryeol Lee, Ji Ho Lee, Yangho Kim, Won Sin Lee, Jee Ho Choi, Kyung Jeh Sung, Jai Kyoung Koh, Kee Chan Moon
Korean Journal of Occupational and Environmental Medicine 2002;14(4):408-417.   Published online December 31, 2002
DOI: https://doi.org/10.35371/kjoem.2002.14.4.408
AbstractAbstract PDF
OBJECTIVES
Recently,tinea pedis has been reported to be a type of occupational dermatoses because of its high prevalence in specific working conditions.Although there is no doubt that the environment surrounding work places, the usual habits of workers etc are intimately related to this skin conditions, there is some controversy as to whether or not this condition is a real occupational illness and what is the exact cause of the high prevalence of this illness is. In this study, the prevalence of tinea pedis in workers from the shipbuilding industry was investigated andthe risk factors of this disease were evaluated. This study also aimed to verify whether or not tinea pedis is one of the occupational diseases.
METHODS
The results of interviews, questionnaires and clinical findings from 1,419 workers who visited the occupational health center for an annual routine check for their health state were analyzed.
RESULTS
Among the 1,419 workers, 778 workers (54.8%)had tinea pedis. By simple logistic regression analysis,the prevalence of tinea pedis was found to be affected by some variables, including the job category, the types of work,the kinds of footwear, whether or not they were using communal baths in the work places, and a family history of tinea pedis.In contrast, by multiple logistic regression analysis,only utilization of the communal baths in the work places and a family history of tinea pedis turned out to be statistically significant risk factors.
CONCLUSIONS
In this study, the major factors contributing to the high prevalence of tinea pedis are the use of communal baths in the workplace and a positive family history. However, the wearing of safety shoes was not statistically significant. Therefore, tinea pedis could not be confirmed to be an occupational disease. On the basis of these results, a solution to the environmental hygiene of communal baths and the personal hygiene of individuals needs to be improved in order to prevent tinea pedis.

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