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Occupational Hand Eczema Prognostic Factors

Purpose: To evaluate a patient with occupational hand eczema using the prognostic factors of Cvetkovski et al.

Description

Cvetovski et al identified prognostic factors for a patient with occupational hand eczema. These can help identify a worker who may require more aggressive management to prevent a poor outcome. The authors are from the University of Copenhagen, Aarhus University, Danish Epidemiology Science Center, University of California Los Angeles, and Gentofte Hospital in Denmark.


 

Poor outcome consisted of:

(1) prolonged sick leave

(2) loss of job or unemployment

(3) job change

 

Parameters:

(1) atopic dermatitis

(2) age

(3) severity of eczema

(4) impaired quality of life associated with the eczema

(5) socioeconomic level

Parameter

Finding

Points

age of the patient

< 40 years of age

0

 

>= 40 years of age

1

atopic dermatitis

absent

0

 

present

1

severity of eczema

mild to moderate

0

 

severe

1

impairment

none to moderate

0

 

severe

1

socioeconomic level

moderate to high

0

 

low

1

 

where:

• The socioeconomic levels in the study were: student/trainee, low, basic, medium, and high levels.

 

total prognostic score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum: 0

• maximum: 5

• The higher the score the greater the likelihood of a poor outcome.

 


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Specialty

Objective

ICD-10