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Occupational Medicine 1998;48:397-404
© 1998 Society of Occupational Medicine

research-article

Contact dermatitis in Alstroemeria workers

I. A. F. van der Mei, E. M. de Boer and D. P. Bruynzeel

Department of Occupational Dermatology, Free University Academic Hospital De Boelelaan 1117, NL-1081 HV Amsterdam, The Netherlands

Hand dermatitis is common in workers in the horticultural industry. This study determined the prevalence of hand dermatitis in workers of Alstroemeria cultivation, investigated how many workers had been sensitized by tulipalin A (the allergen in Alstroemeria) and took stock of a wide range of determinants of hand dermatitis. The 12-month period prevalence of major hand dermatitis amounted to 29.5% whereas 7.4% had minor dermatitis. Of these workers, 52.1% were sensitized for tulipalin A. Several personal and work-related determinants played a role in the multifactorial aetiology of hand dermatitis. Factors which showed a significant relationship with major hand dermatitis were: female sex, atopic dermatitis, chapped hands and the frequency of washing hands. It may be concluded that the Alstroemeria workers are a population at risk of developing contact dermatitis and it might be useful to carry out an educational campaign to lower the high prevalence.

Keywords      Allergic contact dermatitis; Alstroemeria; irritant contact dermatitis; occupational; patch testing; prevalence; tulipalin A

Received       13 November 1997
Accepted        9 March 1998

Correspondence and reprint requests to: D. P. Bruynzeel, Department of Occupational Dermatology, Free University Academic Hospital, De Boelelaan 1117, NL-1081 HV Amsterdam, The Netherlands


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