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Occupational and Environmental Acne

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Book cover Kanerva’s Occupational Dermatology

Abstract

Occupational and environmental acne is an acneiform disorder, resulting from various chemical exposures and from a variety of environmental, physical, and mechanical factors, usually encountered in the workplace but occasionally seen in nonoccupational settings. Occupational and environmental acne comprises oil acne, coal-tar and pitch acne, acne cosmetica, acne aestivalis (from sun), acne mechanica, tropical acne, drug-induced acne, and chloracne. Chloracne, although rare, is a sensitive indicator of chemical exposure to certain polyaromatic halogenated hydrocarbons and is often associated with systemic involvement that should be recognized by physicians treating occupational skin disease. Diagnosis of occupational and environmental acne requires a detailed medical history including possible physical, chemical, and environmental causative agents, a compatible clinical and histologic picture and distribution usually beyond the typical locations of acne vulgaris. Putative chloracnegens should be identified by environmental measurements and also may be assessed in serum and various tissues by direct chemical analysis or biological assay. Management of occupational and environmental acne involves removing or limiting exposure to the putative chemical agent, wearing chemical protective equipment, worker education, and topical and systemic pharmaceutical therapy as indicated.

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Author information

Authors and Affiliations

  1. Division of Dermatology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

    Penpun Wattanakrai

  2. Department of Dermatology, Desk A-61, Dermatology-Plastic Surgery Institute, Cleveland Clinic, Cleveland, OH, USA

    James S. Taylor

  3. Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA

    James S. Taylor

Authors
  1. Penpun Wattanakrai
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  2. James S. Taylor
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Corresponding author

Correspondence to Penpun Wattanakrai .

Editor information

Editors and Affiliations

  1. Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany

    Swen Malte John

  2. National Allergy Research Centre, Department of Dermatology and Allergy, Herlev-Gentofte University Hospital, Hellerup, Hellerup, Denmark

    Jeanne Duus Johansen

  3. Department of Dermatology and Allergology, VU University Medical Center, Amsterdam, The Netherlands

    Thomas Rustemeyer

  4. Department of Dermatology, University Hospital Jena, Jena, Germany

    Peter Elsner

  5. Department of Dermatology, University of California, San Francisco, CA, USA

    Howard I. Maibach

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Wattanakrai, P., Taylor, J.S. (2020). Occupational and Environmental Acne. In: John, S., Johansen, J., Rustemeyer, T., Elsner, P., Maibach, H. (eds) Kanerva’s Occupational Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-319-68617-2_31

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  • DOI: https://doi.org/10.1007/978-3-319-68617-2_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68615-8

  • Online ISBN: 978-3-319-68617-2

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