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Berufsdermatologisch relevante Typ-I-Allergien

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Zusammenfassung

Bei der am häufigsten in Deutschland angezeigten Berufskrankheit handelt es sich um die BK-Nummer 5101, schwere oder wiederholt rückfällige Hautkrankheiten, die zur Unterlassung aller Tätigkeiten gezwungen haben, die für die Entstehung, die Verschlimmerung oder das Wiederaufleben der Krankheit ursächlich waren oder sein können. Der überwiegende Teil der Berufsdermatosen geht zu Lasten irritativer oder allergischer Kontaktekzeme. Berufsbedingte Soforttypallergien, die sich als Kontakturtikariasyndrom manifestieren, sind vergleichsweise selten, beinhalten jedoch das Risiko schwerer Systembeteiligung. Die klinische Symptomatik, die Arbeitsplatz bezogene Exposition und Gefährdung durch berufsrelevante Typ-I-Allergene sind dargestellt.

Abstract

In Germany the most frequent initial report of occupational disease is due to occupational skin diseases (“Berufskrankheitenanzeige nach Nr. 5101 der Berufskrankheitenverordnung”) defined as “severe or recurrent skin diseases that force the discontinuation of any activity that causes or that could be causing the development, the worsening, or the recurrence of the skin disease”. The majority of these occupational skin diseases consists of irritant and allergic contact dermatitis. In contrast, work place- related Type I allergy (contact urticaria syndrome) is less frequent, but carries the risk of systemic reactions. The clinical manifestations and pattern of exposure to Type I allergens in the work place are described.

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  1. Dermatologische Klinik mit Poliklinik des Universitätsklinikums Erlangen, Erlangen

    V. Mahler

  2. Institut für Arbeits-, Sozial und Umweltmedizin, Universität Erlangen, Erlangen

    H. Drexler

  3. Dermatologische Klinik mit Poliklinik, Universitätsklinikum Erlangen, Hartmannstraße 14, 91052 , Erlangen

    V. Mahler

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Mahler, V., Drexler, H. Berufsdermatologisch relevante Typ-I-Allergien. Hautarzt 55, 34–41 (2004). https://doi.org/10.1007/s00105-003-0651-x

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