CLINICO-EPIDEMIOLOGICAL AND ETIOLOGICAL PROFILE OF HAND AND FOOT DERMATITIS

Abstract

Background: Hand and feet serves as the common site for allergic contact dermatitis since they are the principal organs of function. The study explores the epidemiological patterns, etiological factors, occupational relationships, psychological stress, clinical presentations, complications, systemic diseases, patch testing, and impact assessment using a dermatological life quality index. Cross sectional observational study was conducted in the Department of Dermatology, Madras Medical College & Rajiv Gandhi Government General Hospital. Newly diagnosed patients with hand and foot dermatitis attending Occupational and Contact Dermatoses OPD during the study period was included in the study. Patch testing readings and Interpretation was per ICDRG. The mean age of the study participants was 39.14 ± 14.06 years. The mean duration of disease was 14.73 ± 20.49. Age distribution, demonstrates the increased prevalence (24%) of hand and foot dermatitis in the age group 21- 30 years and 41-50 years. A significant majority of participants reported involvement of the hands (82%) and feet (72%). The most frequently reported agents causing eczematous eruptions are plants (22%) and detergents (18%). Patch Test Result distribution were Black Rubber Mix is 2.0%, Fragrance Mix is 8.0%, Neomycin is 8.0%, Nickel Sulphate is 14.0%, and Paraben Mix is 2.0%. Paraphenylene Diamine is 2.0%, Parthenium is 24.0%, Potassium Dichromate is 18.0%, Nil is 22.0%. The mean Dermatology Life Quality Index was 8.96 ±3.39. Conclusion: The study highlights the significant impact of occupational exposure and allergens on the prevalence of eczema, particularly among unskilled laborers. It underscores the need for protective measures and awareness of common triggers to improve patient outcomes.