Military Personnel

  • Akiva TrattnerEmail author
  • Aneta LazarovEmail author
  • Arieh Ingber
Reference work entry


Contact dermatitis is common in military personnel with an incidence of 9.6–32%.

Occupational contact dermatitis may be due to oils, fuels, and solvents, explosives; munitions and fuses; combat gases; weapons and arms; and paints and detergents.

Environmental contact dermatitis may be due to plants or insect bites.

Other causes for allergic contact dermatitis include clothing and other accessories, drugs, repellents, and antiperspirants.

Intentional damage to the skin for obtaining secondary psychological gains is well known in soldiers.


Occupational Contact dermatitits Military personnel Inentional damage 


  1. Adams RM (1990) Occupational skin disease, 2nd edn. W.B. Saunders, PhiladelphiaGoogle Scholar
  2. Amichai B, Lazarov A, Halevy S (1994) Contact dermatitis from diethyltoluamide. Contact Dermatitis 30:188PubMedCrossRefGoogle Scholar
  3. Bergman BB (1952) Tetryl toxicity: summary of ten year’s experience. Arch Ind Hyg 5:10–20Google Scholar
  4. Brenner S, Landau M, Goldberg I (1998) Contact dermatitis with systemic symptoms from Agava americana. Dermatology 196:408–411PubMedCrossRefGoogle Scholar
  5. Brodkin RH, Schwartz RA (1984) Cutaneous signs of dioxin exposure. Am Fam Physician 30:189–194PubMedGoogle Scholar
  6. Christmas TI, Nicholls D, Holloway BA, Grieg D (1987) Blister beetle dermatosis in New Zealand. N Z Med J 100:515–517PubMedGoogle Scholar
  7. Christnach E (1917) Uber Pikrinsaurevergiftung im Anschluss an einen Fall gewerblicher Vergiftung aus einem Sprengstoffbetrieb. Med Dissertation, BonnGoogle Scholar
  8. Cohen AD, Vardy DA (2006) Dermatitis artefacta in soldiers. Mil Med 171:497–499PubMedCrossRefGoogle Scholar
  9. Coomber RB (1947) Dermatitis from contact with varnish of Japanese rifles. Arch Dermatol 55:110–111CrossRefGoogle Scholar
  10. Croft A, Smith H, Creamer I (1996) A pseudo-outbreak of skin disease in British troops. J R Soc Med 89:552–556PubMedPubMedCentralCrossRefGoogle Scholar
  11. Cronin E (1980) Contact dermatitis. Churchill Livingstone, EdinburghGoogle Scholar
  12. Davies JHT, Barker A (1944) Textile dermatitis. Br J Dermatol 56:33–43CrossRefGoogle Scholar
  13. de Groot AC (1994) Patch testing test concentrations and vehicles for 3700 chemicals, 2nd edn. Elsevier, AmsterdamGoogle Scholar
  14. Dietel F (1933) Ekzem nach Einwirkung von chloracetophenon. Med Klin 29:1208Google Scholar
  15. Dursteler BB, Nyquist RA (2004) Outbreak of rove beetle (Staphylinid) pustular contact dermatitis in Pakistan among deployed U.S. personnel. Mil Med 169:57–60CrossRefGoogle Scholar
  16. Eissner H, Liebeskind H (1964) Dermatitis durch chloracetophenon. Z Haut u Geschl Kr 37:143–152Google Scholar
  17. Elmer KB, George RM (1999) Contact urticaria to the MCU-2A/P gas mask. Mil Med 164:377–378PubMedCrossRefGoogle Scholar
  18. English JC III, Fano-Schultz J (1994) Dermatological manifestations in a tropical training environment: emphasis for the general medical officer. Mil Med 159:606–608PubMedCrossRefGoogle Scholar
  19. Fai FY, Lee L (1996) Perception and use of insect repellent among soldiers in the Singapore armed forces. Mil Med 161:113–116PubMedCrossRefGoogle Scholar
  20. Foussereau J (1991) Guide de dermato-allergologie professionelle. Mason, Paris, pp 347–367Google Scholar
  21. Foussereau J, Maleville J, Petitjean M, Basset A (1968) L’Allergie de contact au clophenoxyde les reactions croisees avec l’w-chloracetophenone. Bull Soc Fr Dermatol Syphiligr 75:124–125Google Scholar
  22. Foussereau J, Benezra C, Maibach HI (1982) Occupational contact dermatitis. Munksgaard, CopenhagenGoogle Scholar
  23. Frazier CA (1976) Contact allergy to mace. JAMA 236:2526PubMedCrossRefGoogle Scholar
  24. Fregert S (1981) Manual of contact dermatitis, 2nd edn. Munksgaard, CopenhagenGoogle Scholar
  25. Fregert S, Gruvberger B, Goransson K, Normark S (1978) Allergic contact dermatitis from chromate in military textiles. Contact Dermatitis 4:223–224PubMedCrossRefGoogle Scholar
  26. Friedman T, Shalom A, Westreich M (2006) Self-inflicted garlic burns: our experience and literature review. Int J Dermatol 45:1161–1163PubMedCrossRefGoogle Scholar
  27. Frost J, Hjorth N (1959) Contact dermatitis from hydrazine hydrochloride in soldering fluid. Cross sensitization to apresoline and isoniazid. Acta Derm Venereol Suppl (Stockh) 39:82–86Google Scholar
  28. Gall H (1979) Toxisches Kontaktekzem auf die quaternare Ammoniumverbindung Benzalkoniumchlorid. Dermatosen 27:139–140Google Scholar
  29. Gall H, Kempf E (1982) Kontaktallergie auf das lokale Antiperspsirant Propanthelinbromide. Dermatosen 30:55–57Google Scholar
  30. Gilbert J (1944) Contact dermatitis from rubber gas mask. Ann Allergy Asthma Immunol 2:339Google Scholar
  31. Goldstein N (1968) “KP” dermatitis. J Occup Environ Med 10:423–425CrossRefGoogle Scholar
  32. Goon AT, Goh CL (2001) Occupational skin diseases in national servicemen and military personnel in Singapore, 198901999. Contact Dermatitis 44:89–90PubMedCrossRefGoogle Scholar
  33. Gougerot H, Carteaud A (1952) Poudres et explosifs. In: Les dermatoses professionnelles. Maloine, Paris, pp 294–297Google Scholar
  34. Grabowska H, Policha B, Ejmont B (1976) Alergia kontaktowa (stykowa), czynniki usposabiajace I rehabilitcja u chorych leczonych w klinice dermatologicznej IKP WAM. Przegl Dermatol 6(Suppl):201–204Google Scholar
  35. Hellier FF (1960) Dermatitis purpurica nach Kontakt mit Texilgeweben. Hautarzt 11:173–174PubMedGoogle Scholar
  36. Hodgson G, Hellier FF (1946) Dermatitis caused by shirts in B.L.A. J R Army Med Corps 87:110–117PubMedGoogle Scholar
  37. Hoeffler DF (1975) Friction blisters and cellulitis in a navy recruit population. Mil Med 140:333–337PubMedCrossRefGoogle Scholar
  38. Holland P, White RG (1972) The cutaneous reactions produced by o-chlorobenzyl-idenmalononitrile and w-chloroacetophenone when applied directly to the skin of human subjects. Br J Dermatol 86:150–154PubMedCrossRefGoogle Scholar
  39. James WD, White SW (1984) Allergic contact dermatitis to compound tincture of benzoin. J Am Acad Dermatol 11:847–850PubMedCrossRefGoogle Scholar
  40. Joltrain M, Hissard R, Boulard E (1939) Accident observes chez des ouvriers d’une cartoucherie. Bull Acad Natl Med 122:629–699Google Scholar
  41. Kaplan B, Schewach-Millet M, Yorav S (1990) Factitial dermatitis by application of garlic. Int J Dermatol 29:75–76PubMedCrossRefGoogle Scholar
  42. Kissin M, Mazer M (1944) Cutaneous hypersensitivity to tear gas (chloracetophenone). Bull US Army Med Dep 81:120–121Google Scholar
  43. Knapik J, Reynolds K, Staab J, Vogel JA, Jones B (1992) Injuries associated with strenuous road marching. Mil Med 157:64–67PubMedCrossRefGoogle Scholar
  44. Labernadie (1918) Dermite due au port du masque M2. Ann Dermatol Venereol 7:90–101Google Scholar
  45. Lamberg SI, Mulrennan JA (1969) Bullous reaction to diethyl toluamide (DEET) resembling a blistering insect eruption. Arch Dermatol 100:582–586PubMedCrossRefGoogle Scholar
  46. Lazar MP (1953) Allergic eczematous contact-type dermatitis due to “pro-kit” contents. US Armed Forces Med J 4:1363–11365Google Scholar
  47. Leider M, Furman D, Fisher AA (1952) Sensitivity to rubber materials. Arch Dermatol 65:587–595Google Scholar
  48. Lewe IA (1943) Contact dermatitis from rubber service mask. JAMA 12:422CrossRefGoogle Scholar
  49. Livingwood CS, Rogers AM, Fitz-Hugh T (1943) Dhobie mark dermatitis. JAMA 123:23–26CrossRefGoogle Scholar
  50. MacKinlay R (1938) Vesicular dermatitis due to wild parsnip. J R Army Med Corps 71:401–404Google Scholar
  51. Maibach HI, Marzulli FN (1971) Allergic sensitization potential of riot control lacrimants. Human draize test. Contact Dermatitis Newsl 5:209Google Scholar
  52. Marceron L (1940) Erytheme retarde observe apres contact avec des produits nitres de la serie cyclique. Bull Soc Fr Dermatol Syphiligr 47:235–238Google Scholar
  53. Markby DP, Brooks G, Evans AT, Evans FJ (1989) Chechum (poison sap tree) toxin, a potent activator of protein kinase C (letter). Lancet 1(8650):1320PubMedCrossRefGoogle Scholar
  54. Meijer C, Bredberg M, Fischer T, Widstrom L (1995) Ear piercing, and nickel and cobalt sensitization, in 520 young Swedish men doing compulsory military service. Contact Dermatitis 32:147–149CrossRefGoogle Scholar
  55. Naidenov IN (1980) Clinical apsects and prevention of dermatitides from chemical exposure (in Russian). Voen Med Zh 3:63–65Google Scholar
  56. Natrop KHE, Pinzer B, Hornk K (1975) Hautschaden Tranengas. [Skin lesions due to tear gas]. Dermatol Monatschr 161:678–680Google Scholar
  57. Olumide Y (1987) Contact dermatitis in Nigeria. Contact Dermatitis 17:139–141PubMedCrossRefGoogle Scholar
  58. Oumeish OY, Rushaidat QM (1980) Contact dermatitis to military boots in Jordan. Contact Dermatitis 6:498CrossRefGoogle Scholar
  59. Peterson KA, Portouw SJ (1991) The hazards of operational diving in heavily oil-polluted water. J R Nav Med Serv 77:159–164PubMedGoogle Scholar
  60. Pierard J, Legros A, Delmotie A (1947) Dermite toxique a forme purpurique due a l’usage de certain produits textiles. Arch Belg Dermatol 3:232–238Google Scholar
  61. Pope RW, Hill JC, Blaskis MG (1995) Contact urticaria to the M17 protective mask. Mil Med 160:536–537PubMedCrossRefGoogle Scholar
  62. Qadripur SA, Grunder K (1975) Kasuistischer Beitrag uber eine Gruppenerkrankung mit Photodermaitits bullosa striata pratensis (Oppenheim). [Case contribution on a group affliction with photodermatitis bullosa striata pratensis] (Oppenheim). Hautarzt 26:495–497PubMedGoogle Scholar
  63. Queen FB, Stander T (1941) Allergic dermatitis following exposure to tear gas (chloracetophenone). JAMA 117:1879CrossRefGoogle Scholar
  64. Querangal des Essarts J (1955) Les dermatoses professionnelles dans les arsenaux et etablissements, industriels des forces armees. Bull Soc Franc Dermatol Syphiligr 62:112–117Google Scholar
  65. Requena L, Requena C, Sanchez M, Jacueti G, Aguilar A, Sanchez-Yus E, Hernandez-Moro B (1988) Chemical warfare. Cutaneous lesions from mustard gas. J Am Acad Dermatol 19:529–536PubMedCrossRefGoogle Scholar
  66. Reuveni H, Yagupsky P (1982) Dithyltoluamide-containing insect repellant. Arch Dermatol 118:582–583PubMedCrossRefGoogle Scholar
  67. Rietschel RL, Fowler JF Jr (1995) Fisher’s contact dermatitis. Williams and Wilkins, Baltimore, pp 609–626Google Scholar
  68. Russel PF (1964) Introduction. In: Hoff EC (ed) Preventive medicine in world war II. Communicable disease, vol 6. Office of the Surgeon General, US Department of the Army, Washington, DC, pp 1–4Google Scholar
  69. Rycroft RJG, Menne T, Frosch PJ, Benezra C (1992) Textbook of contact dermatitis. Springer, Berlin/Heidelberg/New YorkCrossRefGoogle Scholar
  70. Schwartz L (1944) Dermatitis from explosives. JAMA 125:186–190CrossRefGoogle Scholar
  71. Scutt RWB (1966) Chrome sensitivity associated with tropical footwear in the Royal Navy. Br J Dermatol 78:337–343CrossRefGoogle Scholar
  72. Seidenari S, Manzini BM, Danese P, Motolese A (1990) Patch and prick test study of 593 healthy subjects. Contact Dermatitis 23:162–167PubMedCrossRefGoogle Scholar
  73. Sequeira JH, Ingram JT, Brain RT (1947) Diseases of the skin. Churchill, LondonGoogle Scholar
  74. Shaposhnikov OK (1973) Prevention of dermatitis in sailors (in Russian). Voen Med Zh 7:77–79PubMedGoogle Scholar
  75. Slodownik D, Wohl Y, Mansura A, Moshe S, Sarbagil-Maman H, Shochat T, Levi Y, Brenner S, Ingber A (2006) Allergic contact dermatitis among maintenance and clerical workers in a military population. Contact Dermatitis 55:335–337PubMedCrossRefGoogle Scholar
  76. Soto J, Medina F, Dember N, Berman J (1995) Efficacy of permethrin-impregnated uniforms in the prevention of malaria and leishmaniasis in Colombian soldiers. Clin Infect Dis 21:599–602PubMedCrossRefGoogle Scholar
  77. Stepanenko NI (1973) Causes of eczematization of dermatoses (in Russian). Voen Med Zh 12:68–69PubMedGoogle Scholar
  78. Sulzberger MB, Baer RL, Kanof A, Lowenberg C (1947) Skin sensitization to vesicant agents of chemical warfare. J Invest Dermatol 8:365–393PubMedCrossRefGoogle Scholar
  79. Wohl Y, Freidman T, Brenner S, Bar Dayan Y (2007) Screening for common dermatologic disorders amongst Israeli adolescents. Int J Dermatol 46:1046–1049PubMedCrossRefGoogle Scholar
  80. Wolf R, Movshowitz M, Brenner S (1994) Contact dermatitis in Israeli soldiers. J Toxicol Environ Health 43:7–11PubMedCrossRefGoogle Scholar
  81. Wolf R, Movshowitz M, Brenner S (1996) Supplemental tests in the evaluation of occupational hand dermatitis in soldiers. Int J Dermatol 35:173–176PubMedCrossRefGoogle Scholar
  82. Wong K, Ng SK, Goh CL (1994) Grass allergy among national servicemen in Singapore. A preliminary report. Contact Dermatitis 30:108–109CrossRefGoogle Scholar
  83. Zhukov VI (1972) Dermatitis (in Russian). Voen Med Zh 3:39–42PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of DermatologyRabin Medical CenterPetah TiqwaIsrael
  2. 2.Tel Aviv UniversityTel AvivIsrael
  3. 3.Private ClinicHerzeliyaIsrael
  4. 4.Department of DermatologyHadassah University HospitalJerusalemIsrael

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