<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532022000100078</article-id>
<article-id pub-id-type="doi">10.31252/rpso.19.02.2022</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[EQUIPAMENTO DE PROTEÇÃO INDIVIDUAL: CAUSA OU CONSEQUÊNCIA? CASO CLÍNICO]]></article-title>
<article-title xml:lang="en"><![CDATA[PERSONAL PROTECTIVE EQUIPMENT: CAUSE OR CONSEQUENCE? CASE REPORT]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Talambas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pita]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Menezes]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Claudino]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manzano]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina Formação Específica de Medicina do Trabalho CHULC]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina Formação Específica de Medicina do Trabalho CHULC]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina Formação Específica de Medicina do Trabalho CHULC]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Nova de Lisboa Faculdade de Medicina Formação Específica de Medicina do Trabalho CHULC]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Faculdade de Medicina  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<fpage>78</fpage>
<lpage>84</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532022000100078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532022000100078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532022000100078&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução As dermatites de contacto representam cerca de 70-90% das doenças dermatológicas ocupacionais, levando frequentemente a incapacidade funcional. Quando existe suspeita de uma dermatite de contato, a história ocupacional do doente pode guiar a suspeição diagnóstica, bem como os alergénios a testar.  Caso Clínico Relata-se um caso de um trabalhador do sexo masculino, com 63 anos de idade, eletricista, que recorre a consulta de Dermatologia, por queixas de lesões eritemato-descamativas pruriginosas nas mãos e pés, com cerca de dois anos de evolução. Realizou testes epicutâneos com positividade para Dicromato de potássio, Parafenilenodiamina, Álcoois da Lanolina e Mistura de têxteis. Tendo em conta as características das lesões, a distribuição das mesmas, a exposição profissional e o resultado das provas cutâneas, foi estabelecido o diagnóstico de Dermatite de Contato Alérgica.  Discussão Foi possível estabelecer uma relação causal com Equipamento de Proteção Individual, bem como o diagnóstico presumível de Dermatite Ocupacional. O tratamento passa pela identificação e eliminação do agente causal, pelo que a evicção da exposição aos alergénios, permite uma melhoria do quadro clínico. A análise do posto de trabalho e consequente desenvolvimento de estratégias preventivas são funções essenciais da Saúde Ocupacional. É importante sensibilizar as empresas para a redução/eliminação da exposição dos trabalhadores a fatores de risco, promovendo a sua saúde e segurança.  Conclusão A Dermatite de Contato associa-se a elevado impacto pessoal e profissional, podendo resultar em absentismo, diminuição da produtividade e incapacidade laboral. O Médico do Trabalho deve ter um papel ativo na formação e informação dos trabalhadores, nomeadamente no que diz respeito a práticas seguras de trabalho e correta utilização dos Equipamento de Proteção Individual, de modo que estes sejam a proteção, e não a causa de doença.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction Contact dermatitis comprises 70-90% of all occupational skin diseases, leading frequently to functional disability. If contact dermatitis is suspected, the patient's occupational history can guide the clinical suspicion as well as the allergens to be tested.  Case Report A 63-year-old male electrician, who went to a Dermatology Specialist with pruritic erythematous-scaly lesions on the hands and feet, two years after the onset of symptoms. An epicutaneous test was performed, and Potassium Dichromate, Paraphenylenediamine, Lanolin Alcohols and Textile Blends were found positive. Considering the characteristics of the lesions, their distribution, occupational exposure and the results of skin patch tests, the diagnosis of Allergic Contact Dermatitis was established.  Discussion It was possible to establish a relationship between the Personal Protective Equipment used by the worker and the symptoms, as well as establish the presumptive diagnosis of Occupational Dermatitis. The best approach for treatment is to identify and remove the agent, since avoiding the allergens can improve the clinical condition. Workplace analysis, as well as the development of preventive strategies are essential for Occupational Health. It is important to encourage companies to reduce/eliminate exposure to risk factors, promoting the health and safety of workers.  Conclusion Contact Dermatitis is associated with a high personal and professional impacts, which can result in absenteeism, reduced productivity and disability. The Occupational Health Care Physician plays an active role in informing workers, with regards to safe working practices and the correct use of Personal Protective Equipment, so that these are used for protection instead of the source of the illness.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Dermatite de Contato Alérgica]]></kwd>
<kwd lng="pt"><![CDATA[Dermatite de Contato]]></kwd>
<kwd lng="pt"><![CDATA[Dermatite Ocupacional]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional.]]></kwd>
<kwd lng="en"><![CDATA[Dermatitis]]></kwd>
<kwd lng="en"><![CDATA[Allergic contact]]></kwd>
<kwd lng="en"><![CDATA[Contact Dermatitis]]></kwd>
<kwd lng="en"><![CDATA[Occupational Dermatitis]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosmaninho]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dermite de contacto: revisão da literatura]]></article-title>
<source><![CDATA[Revista Portuguesa de Imunoalergologia]]></source>
<year>2016</year>
<volume>24</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>197-209</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diepgen]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Ofenloch]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bruze]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bertuccio]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Cazzaniga]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Coenraads]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of contact allergy in the general population in different European regions]]></article-title>
<source><![CDATA[British Journal of Dermatology]]></source>
<year>2016</year>
<volume>174</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>319-29</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pestana]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Gouveia]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalo]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Principais Causas de Dermatite de Contacto Alérgica Ocupacional: Um Estudo de Três Anos no Centro de Portugal]]></article-title>
<source><![CDATA[Ata Médica Portuguesa]]></source>
<year>2016</year>
<volume>29</volume>
<numero>7-8</numero>
<issue>7-8</issue>
<page-range>449-55</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Johanssen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Frosch]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lepoittevin]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Textbook of contact dermatitis]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Berlin ]]></publisher-loc>
<publisher-name><![CDATA[Springer-Verlag]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Resende]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dermatite de Contacto Alérgica profissional ao mercaptobenzotiazol]]></article-title>
<source><![CDATA[Journal of the Portuguese Society of Dermatology and Venereology]]></source>
<year>2015</year>
<volume>72</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>541-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinheiro]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Pestana]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalo]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dermatite de Contacto Alérgica em Profissionais de Saúde]]></article-title>
<source><![CDATA[Journal of the Portuguese Society of Dermatology and Venereology]]></source>
<year>2017</year>
<volume>75</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-58</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alchorne]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alchorne]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dermatoses Ocupacionais]]></article-title>
<source><![CDATA[Anais Brasileiros de Dermatologia]]></source>
<year>2010</year>
<volume>85</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>137-47</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chu]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Marks]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Flamm]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational Contact Dermatitis: Common Occupational Allergens]]></article-title>
<source><![CDATA[Dermatologic Clinics]]></source>
<year>2020</year>
<volume>38</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>339-49</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bensefa-Colas]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Telle-Lamberton]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Paris]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Faye]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Stocks]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Luc]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational allergic contact dermatitis and major allergens in France: temporal trends for the period 2001-2010]]></article-title>
<source><![CDATA[British Journal of Dermatology]]></source>
<year>2014</year>
<volume>171</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1375-85</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<collab>Website da Sociedade Portuguesa de Alergologia e Imunologia Clínica - SPAIC</collab>
<source><![CDATA[Dermatite de Contacto]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="">
<collab>Occupational Safety and Health Administration</collab>
<source><![CDATA[United States Department of Labor]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lau]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Burgess]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Nixon]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Dharmage]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Matheson]]></surname>
<given-names><![CDATA[M. A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Review of the Impact of Occupational Contact Dermatitis on Quality of Life]]></article-title>
<source><![CDATA[Journal of Allergy]]></source>
<year>2011</year>
<volume>2011</volume>
<page-range>964509</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational dermatitis How to identify the exposures, make the diagnosis, and treat the disease]]></article-title>
<source><![CDATA[Annals of Allergy, Asthma &amp; Immunology]]></source>
<year>2018</year>
<volume>120</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>583-91</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<collab>Centro Nacional de Proteção Contra os Riscos Profissionais</collab>
<article-title xml:lang=""><![CDATA[Lista das Doenças Profissionais]]></article-title>
<source><![CDATA[Instituto da Segurança Social]]></source>
<year>2007</year>
<numero>3</numero>
<issue>3</issue>
<page-range>20</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Resende]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dermatite de Contacto Alérgica profissional ao mercaptobenzotiazol]]></article-title>
<source><![CDATA[Journal of the Portuguese Society of Dermatology and Venereology]]></source>
<year>2015</year>
<volume>72</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>541-5</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peng]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Novak]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pathogenesis of atopic dermatitis]]></article-title>
<source><![CDATA[Clinical &amp; Experimental Allergy]]></source>
<year>2015</year>
<volume>45</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>566-74</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Johansen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Aalto-Korte]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Agner]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Andersen]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Bircher]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bruze]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[European Society of Contact Dermatitis guideline for diagnostic patch testing- recommendations on best practice]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>2015</year>
<volume>73</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>195-221</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
