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Suggested Work Modifications for Patients with Environmental and Occupational Risk Factors in Hidradenitis Suppurativa

Suggested Work Modifications for Patients with Environmental and Occupational Risk Factors in Hidradenitis Suppurativa
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摘要 Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition characterized by painful nodules, abscesses, and scarring, primarily affecting areas rich in apocrine glands. Environmental and occupational risk factors, including prolonged exposure to heat, friction, and certain chemicals, have been identified as exacerbating conditions for HS. Yet, there remains a lack of tailored recommendations for modifying work environments to alleviate these triggers. This review presents novel suggestions for work modifications to reduce HS flare-ups, such as implementing breathable, friction-reducing workwear, ergonomic adjustments to minimize pressure on affected areas, and introducing low-irritant hygiene protocols in workplaces with chemical exposure. These recommendations are grounded in emerging evidence linking specific occupational exposures to the exacerbation of HS symptoms. The novelty of this approach lies in its proactive stance, shifting from reactive management of HS symptoms to preventative environmental modifications. Future studies should explore the long-term efficacy of these modifications and investigate the potential for personalized work environment adjustments based on individual patient profiles. Targeted workplace interventions may significantly improve the quality of life for HS patients, highlighting the need for multidisciplinary collaboration between dermatologists, occupational health specialists, and employers. Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition characterized by painful nodules, abscesses, and scarring, primarily affecting areas rich in apocrine glands. Environmental and occupational risk factors, including prolonged exposure to heat, friction, and certain chemicals, have been identified as exacerbating conditions for HS. Yet, there remains a lack of tailored recommendations for modifying work environments to alleviate these triggers. This review presents novel suggestions for work modifications to reduce HS flare-ups, such as implementing breathable, friction-reducing workwear, ergonomic adjustments to minimize pressure on affected areas, and introducing low-irritant hygiene protocols in workplaces with chemical exposure. These recommendations are grounded in emerging evidence linking specific occupational exposures to the exacerbation of HS symptoms. The novelty of this approach lies in its proactive stance, shifting from reactive management of HS symptoms to preventative environmental modifications. Future studies should explore the long-term efficacy of these modifications and investigate the potential for personalized work environment adjustments based on individual patient profiles. Targeted workplace interventions may significantly improve the quality of life for HS patients, highlighting the need for multidisciplinary collaboration between dermatologists, occupational health specialists, and employers.
作者 Kelly Frasier Mary Grace Hash Alyssa Forsyth Christina Randolph Guang Orestes Raquel Batista Kelly Frasier;Mary Grace Hash;Alyssa Forsyth;Christina Randolph;Guang Orestes;Raquel Batista(Department of Dermatology, Northwell Health, New Hyde Park, NY, USA;Edward Via College of Osteopathic Medicine, Auburn, AL, USA;Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, TX, USA;Medical College of Georgia, Augusta, GA, USA;Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA;Norton College of Medicine, Upstate Medical University, Syracuse, NY, USA)
出处 《Occupational Diseases and Environmental Medicine》 2024年第4期305-317,共13页 职业病与环境医学(英文)
关键词 Hidradenitis Suppurativa Occupational Risk Factors Work Environment Modifications Heat and Friction Exposure Ergonomic Adjustments Chemical Irritants Preventative Strategies Workwear for HS Environmental Triggers Dermatology and Occupational Health Collaboration Hidradenitis Suppurativa Occupational Risk Factors Work Environment Modifications Heat and Friction Exposure Ergonomic Adjustments Chemical Irritants Preventative Strategies Workwear for HS Environmental Triggers Dermatology and Occupational Health Collaboration
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