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Current institution
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- Chefarzt Institut für interdisziplinäre Dermatologische Prävention und Rehabilitation (iDerm) an der Universität Osnabrück und BG Klinikum Hamburg, Dermatologie
Publications
Publications (410)
Background
Glove liners (GLs) are worn under impermeable gloves to prevent occlusion effects.
Objectives
To evaluate the acceptance and tolerability of cotton gloves (COT) and semipermeable Sympatex gloves (SYM) as GLs in patients with hand dermatoses.
Methods
In a prospective multicenter study, 210 patients with work‐related hand dermatoses were...
Background
Smartphone apps are a growing field supporting the prevention of chronic diseases. The user experience (UX) is an important predictor of app use and should be considered in mobile health research. Long-term skin protection behavior is important for those with work-related skin diseases. However, altering health behavior is complex and re...
Allergies are physical hypersensitive reactions to normally harmless substances. For daily practice in terms of allergy in the diabetic patient, knowledge of type I allergy, the so-called immediate-type allergy, and type IV allergy, the so-called delayed-type allergy, is of importance. In diabetic patients, two main allergies are described in scien...
Allergic contact dermatitis is one of the most common occupational skin diseases. Due to the limited availability of commercial patch test preparations, patch testing patient’s own material (POM) is of great importance in the diagnosis of occupational contact dermatitis. In a research project (FB 317b) funded by the German Social Accident Insurance...
Zusammenfassung
Die Begutachtung arbeitsbedingter Hauterkrankungen zählt zu den dermatologischen Kernkompetenzen. Als Gutachter nimmt der Hautarzt im Zuge seiner Funktion als neutraler Sachverständiger eine andere Rolle ein als in seiner Funktion als therapeutisch tätiger Arzt. Um die Gleichbehandlung der zu begutachtenden Personen zu gewährleisten...
BACKGROUND
Smartphone apps are a growing field supporting the prevention of chronic diseases. The user experience (UX) is an important predictor of app use and should be considered in mobile health research. Long-term skin protection behavior is important for those with work-related skin diseases. However, altering health behavior is complex and re...
The medico‐legal evaluation of occupational skin diseases is one of the core competencies of dermatology. As a neutral medical expert, the dermatologist has a different role to that of a treating physician. In Germany, the so‐called Bamberg Recommendation ( Bamberger Empfehlung ) provides a scientifically based assessment basis to ensure equal trea...
Sustainability is becoming increasingly important in healthcare and has moved into focus at various levels. This article aims to provide an overview of guiding principles, concepts, and target systems of sustainability and to transfer these to occupational dermatology. Current and future starting points are outlined for various levels, e.g., politi...
Background
Comfort gloves are used in the management of hand dermatoses.
Objectives
To compare the acceptance and tolerability of comfort gloves made of different materials in patients with hand dermatoses and their effects on skin lesions.
Methods
In a prospective multicenter study, 284 patients with hand dermatoses were invited to wear either a...
Background
Mainly women work as foot care specialists (FCS). They are at risk to develop occupational dermatitis (OD).
Objectives
The objective of this study is to describe the contact sensitisation pattern of female FCS with OD.
Methods
In a retrospective study, patch test and clinical data collected by the Network of Departments of Dermatology...
Patch testing is the only clinically applicable diagnostic method for Type IV allergy. The availability of Type IV patch test (PT) allergens in Europe, however, is currently scarce. This severely compromises adequate diagnostics of contact allergy, leading to serious consequences for the affected patients. Against this background, the European Soci...
Background
Earlier studies suggested a potential association between tobacco smoking and nickel sensitization, but little is known about other contact allergens.
Objectives
To investigate the association of smoking status and contact sensitizations as well as subtypes of dermatitis, and to analyse the sensitization profiles of tobacco smokers.
Pa...
Zusammenfassung
Hintergrund
Podcasts haben sich als auditives Medium in der Wissenschaftskommunikation etabliert. Dabei sind Relevanz und Nutzung medizinischer Podcasts in den letzten Jahren angestiegen. Ziel der vorliegenden Arbeit war die Konzeption einer Podcast-Episode für Beschäftigte in Außenberufen zur Prävention von berufsbedingtem Hautkre...
Allergic contact dermatitis is one of the most frequent occupational skin diseases. Targeted allergen avoidance can only be achieved by identification of the causative allergen. Therefore, patch testing is of utmost importance in occupational dermatology, not only in terms of assessing causal relationships but also regarding the implementation of p...
The term prevention includes measures that are used to avoid illnesses or damage to health as well as to reduce the risk of illness or to delay its occurrence. Preventive measures can be classified based on various criteria: temporal differentiation (primary, secondary, and tertiary prevention), context (behavioral and relational prevention), and r...
Zusammenfassung
Durch die Reform des Berufskrankheitenrechts zum 01.01.2021 mit Wegfall des Unterlassungszwangs sind die Voraussetzungen zur Anerkennung einer Berufskrankheit Nr. 5101 wesentlich erleichtert worden. Maßgebliche Anerkennungsvoraussetzung ist nunmehr v.a. das Kriterium der Schwere, welches sich insbesondere aus dem Ansprechen der beru...
Healthcare workers (HCWs) are considered a high‐risk group for developing hand eczema (HE), mainly owing to wet work and contact with allergens at work. To meta‐analyse the prevalence and incidence of HE in HCWs, as well as mapping the prevalence of atopic dermatitis (AD) and HE severity in HCWs. A systematic review and meta‐analysis was performed...
Background
Due to limited availability of commercial test preparations, patch testing patient's own material (POM) is of great importance to diagnose occupational allergic contact dermatitis.
Objectives
To assess the quality of performance and documentation of patch testing with POM in patients with suspected occupational skin diseases (OSD) in Ge...
Hymenoptera venom (HV) is injected into the skin during a sting by Hymenoptera such as bees or wasps. Some components of HV are potential allergens and can cause large local and/or systemic allergic reactions (SAR) in sensitized individuals. During their lifetime, ~ 3% of the general population will develop SAR following a Hymenoptera sting. This g...
The consensus-based guideline "Diagnosis, prevention, and treatment of hand eczema (HE)" provides concrete instructions and recommendations for diagnosis, prevention, and therapy of HE based on an evidence- and consensus-based approach. The guideline was created based on the German guideline "Management von Handekzemen" from 2009 and the current gu...
Zusammenfassung
Die S2k‐Leitlinie „Diagnostik, Prävention und Therapie des Handekzems (HE)“ gibt auf der Grundlage eines evidenz‐ und konsensbasierten Ansatzes konkrete Handlungsanweisungen und Empfehlungen für die Diagnostik, Prävention und Therapie des HE. Die Leitlinie wurde auf der Grundlage der deutschen Leitlinie „Management von Handekzemen“...
Teledermatology has become very popular, and not only due to the SARS-CoV-2 pandemic. Patients with occupational skin diseases (OSDs) could also benefit from teledermatology services as part of their follow-up care, but the opportunities and challenges for patients and dermatologists, especially regarding quality and satisfaction, need exploration....
Since January 1, 2021, recognition of occupational hand eczema as an occupational disease (OD) No. 5101 has been made significantly easier by eliminating the obligation to cease and desist work in the eczema-eliciting job. As a result of this change in OD law, an occupational disease can now also be recognized if the patient continues the (eczema-e...
In daily dermatological practice, the distinction between eczema and psoriasis in dermatoses of the hands can be difficult. However, a clear diagnosis is necessary to initiate optimal therapy and management. In recent years, the so-called molecular classifier has been developed for optimized differentiation of eczema and psoriasis. An occupational...
Nickel und Kobalt zählen in der Allgemeinbevölkerung seit Jahrzehnten zu den am häufigsten sensibilisierenden Kontaktallergenen. Im Rahmen aktueller Arbeiten wurde eine allergologisch relevante Nickel- und Kobaltliberation sowohl aus Friseur- als auch aus Kosmetikwerkzeugen nachgewiesen. In der täglichen Praxis lässt sich eine Freisetzung dieser Me...
Die menschliche Gesundheit und die Gesundheit unseres Planeten sind unmittelbar miteinander verbunden. Planetary Health als multidimensionale Forschungsdisziplin analysiert diese Zusammenhänge sowie die Auswirkungen menschlicher Eingriffe in die natürlichen Systeme der Erde und damit auf unsere Gesundheit. Dieses Buch bietet einen umfassenden Einbl...
Background
Various products are available for lightening hair. There are no data on which applications are actually used in hairdressing, impeding proper estimation of actual exposure and necessary preventive measures.
Objectives
To assess information about availability, usage and formulation of lightening preparations in the German hairdressing t...
Introduction
Healthcare workers (HCWs) constitute a high-risk group for developing occupational hand eczema (HE). The present systematic review and meta-analysis will compile and appraise evidence regarding prevalence and incidence of HE in HCWs.
Methods and analysis
Systematic searches will be performed in three electronic literature databases (P...
Background
Massage therapists are particularly exposed to constituents of massage preparations, wet work and mechanical strain and therefore, at high risk to develop occupational dermatitis (OD).
Objectives
To describe the sensitization spectrum of massage therapists with OD.
Patients and Methods
In a retrospective study, patch test data of patie...
Berufsdermatosen i. S. der Berufskrankheit (BK) Nr. 5101 stellten in den Jahren vor der COVID-19-Pandemie regelmäßig den Hauptanteil aller beruflichen Erkrankungen dar. Sie traten entsprechend häufig in der gutachterlichen Praxis auf; dies ist zukünftig umso mehr zu erwarten, nachdem durch die BK-Rechtsreform von Januar 2021 mit dem Wegfall des Unt...
Background
Occupational hand eczema (HE) is common among healthcare workers (HCWs) and has—in some regions of the world—increased during the COVID‐19 pandemic due to related hygiene measures.
Objectives
To evaluate the efficacy of an intervention for HE prevention in HCWs during the pandemic.
Methods
A prospective, controlled, unblinded intervent...
Im Zuge von COVID-19-assoziierten Hygienemaßnahmen wurde ein vermehrtes Auftreten von beruflich bedingten Handekzemen und Gesichtsdermatosen verzeichnet. Da in der näheren Zukunft nicht mit einem Rückgang der Hygienemaßnahmen zu rechnen ist, müssen umso mehr adäquate, situationsangepasste Präventionsmaßnahmen etabliert werden.
Background
Healthcare workers (HCWs) are at high risk of developing hand eczema (HE). This can be exacerbated by hygiene measures related to the coronavirus disease (COVID-19). Using mild skin cleansers and emollients or moisturizers is central in the prevention of HE—especially with increased COVID-19 hygiene regimes.
Aims
This study aimed to ass...
Background
Essential oils (EOs) are widely used in cosmetics, perfumes, massage fluids, aroma therapy and natural medicine. Some EOs contain contact sensitizers.
Objectives
To describe the frequency of sensitization to EOs in dermatitis patients presenting in skin clinics including concomitant reactions, to evaluate the EO patch test preparations...
Background
Increased hand hygiene measures during the COVID‐19 pandemic have led to an increased quantum of hand eczema (HE).
Objectives
To examine the effects of varying washing frequencies using current mild cleansing agents—alongside with the effect of a rehydrating cream—on the epidermal barrier function and inflammatory processes of the strat...
Background
Relevant nickel and cobalt release from hairdressing tools has recently been evidenced. Comparable data are not available for tools used in beauty salons.
Objectives
Screening of beauty tools for nickel and cobalt release.
Methods/Materials
Three hundred eight beauty tools were tested in seven beauty salons located in two North‐German...
