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Case Report
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
  • 106 View
  • 3 Download
  • 2 Web of Science
  • 2 Crossref
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Original Article
Pulmonary Functions and Related Factors in Shipyard Workers
Mi Hee Park, Chun Hui Suh, Chae Gwan Lee, Byung Chul Son, Dae Hwan Kim, Jeong Ho Kim, Jong Tae Lee
Korean Journal of Occupational and Environmental Medicine 2011;23(3):324-332.   Published online September 30, 2011
DOI: https://doi.org/10.35371/kjoem.2011.23.3.324
AbstractAbstract PDF
OBJECTIVES
The purpose of this study was to evaluate the factors which affect pulmonary function in shipyard workers in order to build a body of basic information that can be used to prevent and manage pulmonary disorders in the future.
METHODS
We studied the respiratory symptoms, smoking history, chest radiographies, and pulmonary functions of 793 workers associated with two shipyards from April 2009 to July 2009. The workers were subdivided into 3 groups by job type: welders, grinders, and machinist-managers. The data was analyzed according to job type and other possible impact factors.
RESULTS
Significant differences among job type were seen with dyspnea and coughing during working hours and in the morning. In pulmonary functions, there were significant differences in forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), and maximal mid-expiratory flow (MMEF) (except FEV1/FVC%) among job types. Grinders especially showed significantly lower figures in the indices of FEV1, FVC, and MMEF.
CONCLUSIONS
Pulmonary function was significantly lower in grinders. Grinders seem to be affected by exposure to a combination of dust particles (silica, lead, and manganese) and irritant gases in the workplace. These results suggested that workers and health officials should work together to adopt technical preventive measures, such as having well- ventilated work areas and appropriate respiratory protective devices.

Citations

Citations to this article as recorded by  
  • Pulmonary function decline in firefighters and non-firefighters in South Korea
    Ju-Hwan Choi, Jae-Hong Shin, Mi-Young Lee, In-Sung Chung
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
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  • 0 Download
  • 1 Crossref
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