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. 2023 May 12;18(5):e0285791. doi: 10.1371/journal.pone.0285791

Table 3. Measures adopted by participants and physicians to control occupational HE.

Measure Examples
‘Medicine’ or treatments Creams/ointment/emollients:
• adjectives used: special, several, different, expensive, protective, oily, urea
• ‘mixed’ by dermatologist or pharmacist
• frequency: often, a lot, ‘like a maniac’, after work, after showering, not hesitating to use it
• apply thickly (even when skin looks alright) or varying amounts according to state of skin
• giving the skin ‘a treat’, in combination with cotton liners at night
• having creams handy in flat (i. e. in different rooms), at workplace and in backpacks/bags
• pay attention on quality, trying different drug store products
Example quote:
“(. . .) lots of creams, different strengths of cortisone, depending on the condition, how extreme it is at that point.” (B20)
Others:
• baths (e. g., black tea baths, saltwater baths, paraffin wax bath)
• light therapy (e. g., PUVA therapy)
• adjusting doses (either by physician or oneself), reducing the amount of creams used
• taking pills
• cortisone
• antibiotics
Reducing the number of skin-irritating factors • sick leave (also several weeks/months)
• delegating (also at home, e. g., wet work) or rearranging tasks (e. g., to avoid wearing single use gloves), avoiding skin-irritating tasks (both at home and at work)
• using skin protection products at work
• washing one’s hair with gloves
• ‘avoiding stuff’ in general, stop using disinfectants, less hand washing (only when necessary), avoiding substances one is reacting to, stop stroking cats, ‘only doing what you have to do’
• overall ‘adjusting’ of everyday life
Example quote:
“I talked to my wife about it like that, that I just leave out all these wet work at home.” (B24)
Gloves • ‘extra special’, many different, rubber
• when cutting vegetables at home/performing ‘certain’ tasks
• cotton liners
• receiving gloves from employer
• reducing wearing times
Example quote:
“I wear gloves, but I don’t wear them too long either, so that I don’t sweat in them and so on.” (B32)
Measures concerning physicians or insurance • (regularly) consult a physician (general practitioners, dermatologist, occupational physician, otolaryngologist physician), those who are familiar with one’s case, consult an ‘expert’ (on skin diseases)
• change physician when not satisfied
• report to the employer’s liability insurance association (Germany)
• rehabilitation
• allergy testing
• taking skin samples
• following treatment plan
• Example quote:
“I’m at the dermatologist quite often. So, every three, four weeks, I have appointments to check my skin.” (B9)
Others • cooling/distracting oneself (especially when itchy)/ trying not to itch
• less stress, more time for skin
• protection plan/concept for skin protection at work
• plasters on rhagades
• protective equipment
• seminars on skin protection
• omit certain groceries/products (e. g., shampoos, exotic fruits, nuts)
• skin-friendly cleaning product
• avoid substances to find a cause
• pay more attention to the skin