Regional Distribution of Occupation Skin Disorders in Bricklayers and Brick Masons: A Cross-sectional study in Ogbomoso, Oyo State, South West Nigeria.
DOI:
https://doi.org/10.71637/tnhj.v25i2.1029Keywords:
Occupational contact dermatitis, Occupational skin disorders, Bricklayers/masons, Traumatic skin injury, Fungal infectionsAbstract
Background: Occupational contacts dermatitis are quite common among bricklayers and masons, due to the chromate-associated alkalinity of cement that can cause corrosive lesions, burns, excoriations, exudations and hyperkeratotic lesions. The aim of this study is to describe the regional parts of the body affected by contact with cements, sands and water in bricklayers.
Methods This cross-sectional study involved 200 bricklayers in whom the regional distribution of cement related dermatitis was determined. Multiple regression analysis was used to determine the independent associates of occupational skin diseases on the upper limbs.
Results The mean age of the bricklayers was 39.74±17.03 years. The prevalence of contact dermatitis in the upper limbs, lower limbs and face were 39.0%,, 4.0% and 0.0 percentage respectively, p<0.001. Traumatic skin lesions and dermatological conditions were more common in the lower limbs than in the upper limbs and face, p<0.001 and p<0.001 respectively. While the use of hand gloves had a protective and reducing effect on the risks of upper limb disease, the usage of the rain boots, to the frequency of cement-associated dermatologic diseases on the lower limbs.
Conclusion: Reductions in the skin contact with cement are measures that could minimize the prevalence of occupational skin disorders (OSDs) in bricklayers.
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References
1. Keegel T, Moyle M, Dharmage S, Frowen K, Nixon R. The epidemiology of occupational contact dermatitis (1990–2007): a systematic review. Int J Dermatol. 2009;48(6):571–8.
2. Chu C, Marks Jr JG, Flamm A. Occupational Contact Dermatitis: Common Occupational Allergens. Dermatol Clin. 2020;38(3):339-349. doi: 10.1016/j.det.2020.02.002.
3. Larese Filon F, Pesce M, Paulo MS, Loney T, Modenese A, John SM, Kezic S, Macan J. Incidence of occupational contact dermatitis in healthcare workers: a systematic review. J Eur Acad Dermatol Venereol. 2021;35(6):1285-1289. doi: 10.1111/jdv.17096.
4. Poppe H, Poppe LM, Bröcker EB, Trautmann A. Do-it-yourself cement work: the main cause of severe irritant contact dermatitis requiring hospitalization. Contact Dermatitis. 2013;68(2):111-5. doi: 10.1111/j.1600-0536.2012.02156.x.
5. Kridin K, Bergman R, Khamaisi M, Zelber-Sagi S, Weltfriend S. Cement-Induced Chromate Occupational Allergic Contact Dermatitis. Dermatitis. 2016 Jul-Aug;27(4):208-14. doi: 10.1097/DER.0000000000000203.
6. Yamamoto O, Nishio D, Tokui N. [Six cases of occupational skin diseases caused by cement: considerations from the aspect of occupational dermatology]. J UOEH. 2001;23(2):169-80. Japanese. doi: 10.7888/juoeh.23.169.
7. Burli A, Vashi NA, Li BS, Maibach HI. Allergic Contact Dermatitis and Patch Testing in Skin of Color Patients. Dermatitis. 2023;34(2):85-89. doi: 10.1089/derm.2022.29011.abu.
8. McLelland J, Shuster S. Contact dermatitis with negative patch tests: the additive effects of allergens in combination. Br J Dermatol. 1990;122(5):623-630. doi: 10.1111/j.1365-2133.1990.tb07284.x.
9. Lewis PM, Ennis O, Kashif A, Dickson WA. Wet cement remains a poorly recognized cause of full-thickness skin burns. Injury. 2004;35(10):982-5. doi: 10.1016/j.injury.2003.09.010.
10. Lazzarini R, Duarte IA, Sumita JM, Minnicelli R. Allergic contact dermatitis among construction workers detected in a clinic that did not specialize in occupational dermatitis. An Bras Dermatol. 2012 Jul-Aug;87(4):567-71. doi: 10.1590/s0365-05962012000400008.
11. Soyinka F. Epidemiology of occupational disease among bricklayers in Nigeria, effects of age and duration of contact. Berufsdermatosen. 1977;25(5):195–202.
12. Olumide Y. Contact dermatitis in Nigeria (II). Hand dermatitis in men. Contact Dermatitis. 1987;17(3):136–8.
13. Sin-Ho Jung. Stratified Fischer’s Exact Test and its Sample size calculation. Biometrical Journal. 2014;56(1):129-140. doi: 10.1002/bmj.201300048.
14. Danimoh MA, Muhammad AS, Mohammed A, Rabiu I, Ali MW, Shittu AP. Occupational Health and Safety Practices Among Workers in Block/Concrete Construction Industries in Gombe Metropolis, Gombe State, North East Nigeria. West Afr J Med. 2023;40(11 Suppl 1):S17-S18.
15. Mryhan AAH, Afaf ME. Occupational dermatitis among construction workers in 10th of Ramadan City. Zagazig Univ Med J. 2019;25(6):974-979.
16. Aalto-Korte K, Koskela K, Pesinen M. A 12-year data on dermatologic cases in Finnish Register of Occupational Diseases 1: Distribution of different diagnoses and main causes.
17. Srinivas CR, Sethy M. Occupational Dermatoses. Indian Dermatol Online J. 2023;14(1):21-31.
18. Mahajan VK, Mehta KS, Chauhan PS, Sharma R, Sharma A, Verma YR, et al. Clinical, Occupational and Allergological Profile of 455 Patients with Occupational Contact Dermatitis: A 5-Year Study from a Tertiary Care Center of North India. Indian Dermatol Online J. 2021 Jul 14;12(4):541-548. doi: 10.4103/idoj.IDOJ_768_20.
19. Winder C, Carmody M. The dermal toxicity of cement. Toxicol Ind Health. 2002 Aug;18(7):321-31. doi: 10.1191/0748233702th159oa.
20. Wong CC, Gamboni SE, Palmer AM, Nixon RL. Occupational allergic contact dermatitis to chromium from cement: Estimating the size of the problem in Australia. Australas J Dermatol. 2015 Nov;56(4):290-3. doi: 10.1111/ajd.12238.
21. Mowitz M, Zimerson E, Hauksson I, Pontén A. Chromate and amine contact allergies in workers manufacturing precast concrete elements. Contact Dermatitis. 2016 Dec;75(6):363-369. doi: 10.1111/cod.12661.
22. Kan Y, Ohashi T, Kobayashi E, Kumagai A, Uhara H. Cement and Retarder-Associated Systemic Contact Dermatitis in a Chromium-Negative Patch-Tested Patient. Dermatitis. 2021 Sep-Oct;32(5):e76-e78. doi: 10.1097/DER.0000000000000685.
23. Yamamoto O, Nishio D, Tokui N. [Six cases of occupational skin diseases caused by cement: considerations from the aspect of occupational dermatology]. PubMed Commons. 2001;23(2):169–80.
24. Fell AKM, Nordby KC. Association between exposure in the cement production industry and non-malignant respiratory effects: a systematic review. BMJ Open. 2017;7(4):e012381.
25. Chiriac A, Podoleanu C, Moldovan C, Stolnicu S. Cement burn: an occupational disease with favourable outcome. Case report. Int Wound J. 2016;13(5):1014-5.
26. Frolov M, Loganina VI, Zhuravleva EA. Humidity Condition of Aerated Concrete Walls depending on the Type of Finishing Coating. Applied Sciences. 2023;13(17):9529.
27. Chung JY, Vern AK, Latenser BA, Lewis RW. Cement-related injuries: review of a series, the National Burn Repository, and the prevailing literature. J Burn Care Res. 2007;28(6):827-834.
28. Parker ER, Mo J, Goodman RS. The dermatological manifestations of extreme weather events: A comprehensive review of skin disease and vulnerability. J Climate Change Health. 2022;8:100162.
29. Esmail RY, Sakwari GH. Occupational Skin Diseases among Building Construction Workers in Dar es Salaam, Tanzania. Ann Glob Health. 2021;87(1):92. doi: 10.5334/aogh.3102.
30. Ahmad R, Akhter QS, Haque M. Occupational Cement Dust Exposure and Inflammatory Nemesis: Bangladesh Relevance. J Inflammation Res. 2021;14:2425-2444.
31. Bicer EK, Kucuk L, Kececi B, Ozturk AM, Cetinkay S, Ozdemir O, Coskunol E. Evaluation of the risk factors for acute occupational hand injuries. Chir Main. 2011;30(5):340-4.
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Copyright (c) 2025 Oluwaseyi Kikelomo Israel, Michael Gbenga Israel, Adeolu Oladayo Akinboro, Peter K. Uduagbamen, Sebastine O. Oiwoh, Olanrewaju Olayemi, Stephen Aiyedun, Olumayowa Oninla, Olayinka Olasode, Olaniyi Onayemi
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