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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
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  • 2 Web of Science
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Original Article
Work-Relatedness of Occupational Contact Dermatitis in a Tire Factory
Sora Choi, Han Soo Song, Chul Gab Lee
Korean Journal of Occupational and Environmental Medicine 2009;21(4):354-364.   Published online December 31, 2009
DOI: https://doi.org/10.35371/kjoem.2009.21.4.354
AbstractAbstract PDF
OBJECTIVES
This study investigated occupational contact dermatitis in a tire factory, prompted by a long history of complaints of skin ailments by the factory workers.
METHODS
Participants (n=160) completed a questionnaire concerning job characteristics and skin symptoms, and received a medical examination. Fifty-four workers with suspected work-related contact dermatitis were chosen for a patch test of contact-related dermatitis.
RESULTS
The most frequent positive reactions of patch test were produced by diphenylguanidine, formaldehyde and cobalt. Twenty-one of the 54 individuals (38.9%) were judged to have work-related skin disease.
CONCLUSIONS
Exposure to natural and synthetic rubbers and additive materials pose a risk of contact dermatitis in a tire manufacturing environment. Improved sanitary work practices and public health awareness measures are suggested.

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Original Article
Contact dermatitis surveillance system in Taejon city: Prevalence of contact dermatitis among the workers exposed to solvents and nonmentallic chemicals through an immediate health examination system in Taejon city
Seong Sil Chang, Sooyoung Kim
Korean Journal of Occupational and Environmental Medicine 2000;12(2):227-234.   Published online June 30, 2000
DOI: https://doi.org/10.35371/kjoem.2000.12.2.227
AbstractAbstract PDF
OBJECTIVES
We tried to establish a Regional Occupational Surveillance System (ROSS) for estimating the prevalence and monitoring the trend of occupational dermatitis among 718 manufacturing workers exposed to organic solvents and nonmetallic chemicals in small and medium sized businesses of 1,2 industrial complex area of taejon City.
METHODS
Through the report from the nurses of Group Occupational Health Management System, we made a case referral and immediate health examination system with occupational medical clinics. We also performed a survey for detecting occupational dermatitis by a self-administered questionnaire. Case must meet 3 criteria; 1) He/She must have one or more significant cutaneous signs and symptoms. 2) The symptom should be changed by the work condition or caused by risk chemicals. 3) Dermatitis should be diagnosed by a doctor. Results Among the 131 workers(17. 7 %) with significant symptoms screened by the questionnaire, 4 workers(0. 6 %) met the case definition criteria. And among the 45 workers (6. 3 9o) referred to the immediate diagnosed system, 14 workers (l. 9 %) were Strongly suspected to have occupational dermatitis.
CONCLUSIONS
These prevalence rates were quite underestimated because of deficient recognition of the disease severity among the workers, reversibility of the target diseases, and life-threathening mood due to nationwide economic crisis and the socioeconomic withdrawal of each business. Ultimately, harmonized activities of government, industry, labor unions, volunteer organization and academy relating to occupational health in a community should be encouraged to do creative, consistent efforts for evolution and development of this first trial of ROSS.

Citations

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  • Work-relatedness of lung cancer by smoking and histologic type in Korea
    Young-Il Lee, Sang-Gil Lee, Dong-Mug Kang, Jong-Eun Kim, Young-Ki Kim, Jong-Han Leem, Hwan-Cheol Kim
    Annals of Occupational and Environmental Medicine.2014;[Epub]     CrossRef
  • Occupational Skin Diseases in Korea
    Yeon-Soon Ahn, Min-Gi Kim
    Journal of Korean Medical Science.2010; 25(Suppl): S46.     CrossRef
  • 34 View
  • 0 Download
  • 2 Crossref
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Original Article
Occupational Contact Dermatitis in Patch Test Clinics of General Hospitals
Hee Chul Eun, Bong Koo Lee, Kea Jeung Kim, Hyung Jai Kang
Korean Journal of Occupational and Environmental Medicine 1989;1(2):160-167.   Published online November 30, 1989
DOI: https://doi.org/10.35371/kjoem.1989.1.2.160
AbstractAbstract PDF
Occupational allergic contact dermatitis cases who had visited the patch test clinics of Seoul National University Hospital(1984-1988) and Koryo General Hospital(1982-1988) were analyzed in this study. Patch test was performed with either Hollister-Stier standard battery or European standard battery in addition to the patients own materials and other commercially available antigens. Patch test was peformed according to the recommendation of International Contact Dermatitis Research Group. The result is summarized as follows. 1. Out of 946 cases 65 (6.9%) were suspected as having occupational dermatoses clinically and 35 (3.7%) were diagnosed as occupational allergic contact dermtitis after patch test. 2. Sixteen (45.7%) out of the 35 patients were male and 19 (54.3%) were female. Twenty one (60.0%) patients were in the age of 20 to 40 years. 3. The occupational distribution of 35 patients were medical personnels (8), cement workers (7), industrial workers (5), hair dressers (5), farmers (3), merchants (3), cooks (2) and painters (2). 4. Potassium dichromate, nickel sulfate and rubber chemicals were the most common occupational allergens. We also reviewed the Korean literatures related to the occupational dermatoses.

Citations

Citations to this article as recorded by  
  • Allergic contact dermatitis of both eyes caused by alcaftadine 0.25%: a case report
    Jae Hyuk Kim, Hyun Joon Kim, Sun Woong Kim
    BMC Ophthalmology.2019;[Epub]     CrossRef
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  • 1 Crossref
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