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The epidemiology of hand eczema in the general population--prevalence and main findings.
Contact Dermatitis 2010; 62(2):75-87CD

Abstract

Numerous studies have investigated the prevalence and risk factors of hand eczema in the general population. These studies are of high value as they tend to be less biased than studies using clinical populations and as they are important for healthcare decision makers when they allocate resources. This study aimed to review the epidemiology of hand eczema in the general population. Literature was examined using Pubmed-Medline, Biosis, Science Citation Index, and dermatology text books. On the basis of studies performed between 1964 and 2007, the point prevalence of hand eczema was around 4%, the 1-year prevalence nearly 10%, whereas the lifetime prevalence reached 15%. Based on seven studies, the median incidence rate of hand eczema was 5.5 cases/1000 person-years (women = 9.6 and men = 4.0). A high incidence rate was associated with female sex, contact allergy, atopic dermatitis, and wet work. Atopic dermatitis was the single most important risk factor for hand eczema. Hand eczema resulted in medical consultations in 70%, sick leave (> 7 days) in about 20%, and job change in about 10%. Mean sick time was longer among those with allergic hand eczema than those with atopic and irritant hand eczema. Moderate to severe extension of hand eczema was the strongest risk factor for persistence of hand eczema. Other risk factors included early onset of hand eczema and childhood eczema. The aetiology of hand eczema is multifactorial and includes environmental as well as genetic factors. Future studies should focus on unresolved areas of hand eczema, for example, genetic predisposition.

Authors+Show Affiliations

National Allergy Research Centre, Department of Dermato-Allergology, Gentofte Hospital, University of Copenhagen, Niels Andersens Vej 65, 2900 Hellerup, Denmark. jacpth01@geh.regionh.dkNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

20136890

Citation

Thyssen, Jacob P., et al. "The Epidemiology of Hand Eczema in the General Population--prevalence and Main Findings." Contact Dermatitis, vol. 62, no. 2, 2010, pp. 75-87.
Thyssen JP, Johansen JD, Linneberg A, et al. The epidemiology of hand eczema in the general population--prevalence and main findings. Contact Derm. 2010;62(2):75-87.
Thyssen, J. P., Johansen, J. D., Linneberg, A., & Menné, T. (2010). The epidemiology of hand eczema in the general population--prevalence and main findings. Contact Dermatitis, 62(2), pp. 75-87. doi:10.1111/j.1600-0536.2009.01669.x.
Thyssen JP, et al. The Epidemiology of Hand Eczema in the General Population--prevalence and Main Findings. Contact Derm. 2010;62(2):75-87. PubMed PMID: 20136890.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The epidemiology of hand eczema in the general population--prevalence and main findings. AU - Thyssen,Jacob P, AU - Johansen,Jeanne D, AU - Linneberg,Allan, AU - Menné,Torkil, PY - 2010/2/9/entrez PY - 2010/2/9/pubmed PY - 2010/5/21/medline SP - 75 EP - 87 JF - Contact dermatitis JO - Contact Derm. VL - 62 IS - 2 N2 - Numerous studies have investigated the prevalence and risk factors of hand eczema in the general population. These studies are of high value as they tend to be less biased than studies using clinical populations and as they are important for healthcare decision makers when they allocate resources. This study aimed to review the epidemiology of hand eczema in the general population. Literature was examined using Pubmed-Medline, Biosis, Science Citation Index, and dermatology text books. On the basis of studies performed between 1964 and 2007, the point prevalence of hand eczema was around 4%, the 1-year prevalence nearly 10%, whereas the lifetime prevalence reached 15%. Based on seven studies, the median incidence rate of hand eczema was 5.5 cases/1000 person-years (women = 9.6 and men = 4.0). A high incidence rate was associated with female sex, contact allergy, atopic dermatitis, and wet work. Atopic dermatitis was the single most important risk factor for hand eczema. Hand eczema resulted in medical consultations in 70%, sick leave (> 7 days) in about 20%, and job change in about 10%. Mean sick time was longer among those with allergic hand eczema than those with atopic and irritant hand eczema. Moderate to severe extension of hand eczema was the strongest risk factor for persistence of hand eczema. Other risk factors included early onset of hand eczema and childhood eczema. The aetiology of hand eczema is multifactorial and includes environmental as well as genetic factors. Future studies should focus on unresolved areas of hand eczema, for example, genetic predisposition. SN - 1600-0536 UR - https://www.unboundmedicine.com/medline/citation/20136890/The_epidemiology_of_hand_eczema_in_the_general_population__prevalence_and_main_findings_ L2 - https://doi.org/10.1111/j.1600-0536.2009.01669.x DB - PRIME DP - Unbound Medicine ER -