Fibreglass dermatitis is a common occupationally acquired irritant contact dermatitis, where small spicules of fibreglass lodging in the stratum corneum result in mechanical irritation. We present two patients, an air-conditioning ducting worker and an injection moulding machine operator, who both presented with generalized pruritus. In the first case, polarized microscopy of a skin biopsy specimen demonstrated rare small spicules, with a diameter of 1 µm, lodged in the stratum corneum. In the second case, skin tape stripping demonstrated fibreglass particles, not found on skin biopsy. Proper work practices, personal hygiene and use of impervious barrier materials were recommended. The first patient did not return for follow-up, and the second patient's dermatitis resolved after handling of fibreglass-containing material was eliminated from his job scope. In conclusion, we present two cases of fibreglass dermatitis to illustrate the challenges in diagnosis and highlight strategies for prevention.
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http://dx.doi.org/10.1093/occmed/kqad049 | DOI Listing |
J Korean Assoc Oral Maxillofac Surg
April 2024
Department of Cleft & Craniomaxillofacial Surgery, Amrita Institute of Medical Sciences, Kochi, India.
External nasal splints are commonly used for immobilization following nasal fracture reduction or rhinoplasty procedures. The literature documents the use of various materials like thermoplastic materials, aluminum, Orthoplast, fiberglass, plaster of Paris, and polyvinyl siloxane. These materials are bulky, time-consuming, expensive, and cumbersome to use, and have been associated with complications including contact dermatitis and epidermolysis.
View Article and Find Full Text PDFToxics
December 2023
Consortium for Technology & Innovation in Pediatrics, Lurie Children's Hospital, 225 E Chicago Ave., Chicago, IL 60611, USA.
The effects of occupational isocyanate exposure range from asthma and contact dermatitis to neurotoxicity and cancer. Respiratory sensitization due to orthopedic cast application has been well documented. This study aims to compare the safety of standard-of-care fiberglass casts and a novel waterproof cast alternative by measuring the amount of isocyanate released during off-gassing over time.
View Article and Find Full Text PDFOccup Med (Lond)
June 2023
National Skin Centre, 308205Singapore.
Fibreglass dermatitis is a common occupationally acquired irritant contact dermatitis, where small spicules of fibreglass lodging in the stratum corneum result in mechanical irritation. We present two patients, an air-conditioning ducting worker and an injection moulding machine operator, who both presented with generalized pruritus. In the first case, polarized microscopy of a skin biopsy specimen demonstrated rare small spicules, with a diameter of 1 µm, lodged in the stratum corneum.
View Article and Find Full Text PDFActa Dermatovenerol Croat
November 2022
Professor Suzana Ljubojević Hadžavdić, MD, PhD¸, Department of Dermatology and Venereology, University Hospital Center Zagreb University of Zagreb School of Medicine, Zagreb, Croatia;
Allergic contact dermatitis (ACD) caused by (meth)acrylates is traditionally an occupational disease among dentists, printers, and fiberglass workers. With the use of artificial nails, cases have been reported both in nail technicians and in users. ACD caused by (meth)acrylates used in artificial nails is a relevant problem for both nail artists and consumers.
View Article and Find Full Text PDFSkinmed
July 2022
Departments of Pathology, Medicine, and Dermatology, Rutgers University-New Jersey Medical School, Newark, NJ.
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