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Contact dermatitis — DOccMed MCQ

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ModerateOccupational Skin DiseaseContact dermatitisDOccMed

A hairdresser develops fissured erythematous dermatitis over the hands after a change to frequent bleaching treatments. Symptoms improve during annual leave but relapse after busy salon weeks. What is the most likely occupational diagnosis?

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Correct answer: A — Irritant and allergic occupational contact dermatitis

Wet work, shampoos, bleach and hair dyes are common causes of occupational hand dermatitis. Improvement away from work and recurrence with exposure support an occupational contribution. Patch testing may be required to distinguish irritant from allergic mechanisms, while exposure control and glove advice are central.

Reference: HSE Dermatitis Guidance; RIDDOR