Occupational Relevance of Contact Urticaria Syndrome

  • Jose Hernán AlfonsoEmail author
Part of the Updates in Clinical Dermatology book series (UCD)


Immediate contact reactions, such as contact urticaria and protein contact dermatitis, may have many causes. Nevertheless, the contribution of occupational exposures as a causative or worsening factor is often overseen. What starts as a seemingly innocuous self-limiting pruritic wheal and flare skin reaction in relation to exposures at work can develop to a life-threating systemic reaction, with negative consequences on work, income, self-image, gastronomical enjoyment, hobbies, and life quality. Work-related and occupational skin immediate contact reactions may be greatly underdiagnosed, undertreated, and underreported. As these skin conditions are highly preventable by reduction or elimination of exposures at work, knowledge of risk factors, risk professions, and prognosis is essential for effective management from prevention, diagnosis, assessment of occupational relevance to treatment, and rehabilitation.


Work-related Occupational Risk factors Occupation Exposure assessment Occupational relevance Prognosis Questionnaires 



The author is grateful to Dr. Juan Pedro Russo, Hospital San Martín de La Plata, Argentina for providing the pictures of the patient with protein contact dermatitis.


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Occupational Medicine and EpidemiologyNational Institute of Occupational HealthOsloNorway

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