Occupational acne: a case series
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20242435Keywords:
Chloracne, Coal tar acne, Occupational acne, Oil acneAbstract
Occupational acne a type of acne venenata, is caused by both the action of physical environmental factors and professional contact with chemicals. It can affect both those who have pre-existing seborrhea and acne that gets worse after chemotherapy and those who do not have a positive history of these conditions. Previously, occupational acne was believed to be one of the most common environmental skin conditions, second only to contact dermatitis. Although specific risk factors are not required, oil acne and cystic acne may be influenced by a predisposition to seborrhea and a history of hepatic alteration. From an etiological perspective, there are two types of occupational acne: petroleum-derived acne and acne resulting from coal tar products. In Skin and VD department OPD, Patna Medical College and Hospital we got three cases of occupational acne in February 2024. We came to the conclusion that these were occupational acne on the basis of detailed enquiry about previous chemical exposure and histopathological examinations. These patients were advised to immediate cessation of chemical exposure and managed by appropriate antibiotics, isotretinoin and face hygiene. All patients recovered satisfactory without any complications in 10-12 weeks.
References
Adams BB, Chetty VB, Mutasim DF. Periorbital comedones and their relationship to pitch tar: a cross-sectional analysis and a review of the literature. J Am Acad Dermatol. 2000;42:624-7.
Yamamoto O, Tokura Y. Photocontact dermatitis and chloracne: two major occupational and environmental skin diseases induced by different actions of halogenated chemicals. J Dermatol Sci. 2003;32:85-94.
Panteleyev AA, Bickers DR. Dioxin-induced chloracne-reconstructing the cellular and molecular mechanisms of classic environmental disease. Exp Dermatol. 2006;15:705-30.
Ancona AA. Occupational acne. Occup Med 1986;1:229-23.
Zorba E, Karpouzis A, Zorbas A, Bazas T, Zorbas S, Alexopoulos E, Zorbas I, Kouskoukis K, Konstandinidis T. Occupational dermatoses by type of work in Greece. Saf Health Work. 2013;4:142-8.
Ju Q, Zouboulis CC, Xia L. Environmental pollution and acne: Chloracne. Dermatoendocrinol. 2009;1:125-8.
Friedmann PS, Wilkinson M. Occupational Dermatoses. In: Bolognia JL, Jorizzo JL, Rapini RP, editors. Dermatology. 2nd ed. New York: Mosby; 2008.231-42.
Ju Q, Zouboulis CC, Xia L. Environmental pollution and acne: Chloracne. Dermatoendocrinol. 2009;1:125-28.
Zaenglein AL, Thiboutot DM. Acne Vulgaris. In: Bolognia JL, Jorizzo JL, Rapini RP, editors. Dermatology. 2nd ed. New York: Mosby; 2008;495-508.
Dessinioti C, Antoniou C, Katsambas A. Acneiform eruptions. Clin Dermatol. 2014;32:24–34.