Skin dermatitis (sometimes referred to as eczema) frequently results from a combination of causes, which may include genetic makeup, skin injury and allergy. It is often caused or aggravated by work, when it is known as occupational dermatitis. Skin dermatitis is particularly common in industries involving cleaning, catering, metalwork, hairdressing, healthcare and mechanical work. Severe dermatitis may ensue if effective treatment is not sort.
Skin dermatitis varies in severity. Often it starts as a mild intermittent complaint, but can become severe dermatitis. The affected skin initially becomes red and dry which progresses to itchy papules (bumps) and fluid-filled blisters (vesicles), scaling, cracking (fissures), weeping (exudation) and swelling (oedema). Bacterial infection can result in pustules, crusting and pain. Longstanding dermatitis at the ends of the fingers may result in deformed nails.
With careful management, skin dermatitis usually recovers completely. A few days off work is often helpful. When skin dermatitis becomes severe, it may not be possible to work for weeks or months. Occasionally a change of occupation is necessary.
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