Occupational Dermatitis to Facial Personal Protective Equipment in Healthcare Workers: A Systematic Review. Journal of the American Academy of Dermatology Yu, J. n., Chen, J. K., Mowad, C. M., Reeder, M. n., Hylwa, S. n., Chisolm, S. n., Dunnick, C. A., Goldminz, A. M., Jacob, S. E., Wu, P. A., Zippin, J. n., Atwater, A. R. 2020

Abstract

Prolonged wear of facial protective equipment can lead to occupational dermatoses.To identify important causes of occupational dermatoses from facial protective equipment.A systematic review following PRISMA guidelines was performed using PubMed and Embase databases. Articles were included if they reported occupational dermatoses caused by surgical/procedure masks and/or N95 respirators.344 articles were identified; 16 were suitable for inclusion in this review. Selected articles focused on facial occupational dermatoses in healthcare workers. Allergic contact dermatitis was reported to the elastic straps, glue, and formaldehyde released from the mask fabric. Irritant contact dermatitis was common on the cheeks and nasal bridge due to pressure and friction. Irritant dermatitis was associated with personal history of atopic dermatitis and prolonged mask wear (greater than 6 hours). Acneiform eruption was reported due to prolonged wear and occlusion. Contact urticaria was rare.Only publications listed in PubMed or Embase were included. Most publications were case reports and retrospective studies.This systematic review from members of the American Contact Dermatitis Society highlights cases of occupational dermatitis to facial protective equipment including potential offending allergens. This work may help in the diagnosis and treatment of healthcare workers with facial occupational dermatitis.

View details for DOI 10.1016/j.jaad.2020.09.074

View details for PubMedID 33011325