<?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>S2183-84532025000200700</article-id>
<article-id pub-id-type="doi">10.31252/rpso.12.08.2025</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[DERMATITE DE CONTACTO ALÉRGICA A MÚLTIPLOS (META)ACRILATOS NUMA ESTETICISTA: UM CASO CLÍNICO COM RELEVÂNCIA OCUPACIONAL]]></article-title>
<article-title xml:lang="en"><![CDATA[ALLERGIC CONTACT DERMATITIS TO MULTIPLE (METH)ACRYLATES IN A BEAUTICIAN: A CASE REPORT WITH OCCUPATIONAL RELEVANCE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alves]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Eiras]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Melo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde da Região de Aveiro  ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS EDV  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidade Local de Saúde de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Unidade Local de Saúde de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Unidade Local de Saúde da Região de Aveiro Serviço do Serviço de Medicina do Trabalho e Saúde Ocupacional ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>07</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>07</month>
<year>2025</year>
</pub-date>
<volume>20</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532025000200700&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532025000200700&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532025000200700&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: Os acrilatos e metacrilatos são monómeros derivados dos ácidos acrílico e metacrílico, com elevado potencial sensibilizante. Atualmente, o principal foco de sensibilização profissional encontra-se no setor da Estética, nomeadamente na aplicação de unhas acrílicas, unhas de gel e/ou extensões de pestanas. Os sintomas típicos desta dermatose incluem pulpite dolorosa, hiperqueratósica e fissurada, frequentemente associada a diminuição da sensibilidade tátil, podendo ainda ocorrer paroníquia e destruição ungueal. As lesões eczematosas podem surgir em locais distantes do ponto de contacto direto. Apresenta-se o caso de uma esteticista com dermatite de contacto alérgica confirmada por testes epicutâneos, ilustrando o impacto ocupacional desta patologia.  Descrição do caso clínico: Trata-se de um caso de uma mulher de 39 anos, esteticista há seis anos, previamente lojista. Foi referenciada à consulta de dermatologia por lesões bilaterais de pulpite nos dedos polegares e indicadores com 18 meses de evolução. No exame clínico, apresentava lesões descamativas e fissuras dolorosas localizadas nos 1º, 2º e 3º dedos da mão direita e 1º dedo da mão esquerda. Desenvolveu também lesões faciais eritematosas e pruriginosas na região frontal. Foram realizados testes epicutâneos com positividades a múltiplos (meta)acrilatos.  Discussão/Conclusão: A exposição cutânea a (meta)acrilatos induz frequentemente reações de hipersensibilidade tipo IV, manifestando-se como eczema das mãos, sobretudo nas extremidades dos dedos. A dermatite de contacto alérgica a estas substâncias constitui uma causa importante de dermatose ocupacional, com impacto funcional significativo. Uma vez sensibilizado, o trabalhador terá dificuldade em encontrar equipamentos de proteção individual eficazes, sendo essencial implementar medidas preventivas rigorosas e, em alguns casos, ponderar a requalificação profissional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Acrylates and methacrylates are monomers derived from acrylic and methacrylic acids, with a high sensitizing potential. Currently, the main source of occupational sensitization is found in the beauty sector, particularly through the application of acrylic nails, gel nails, and/or eyelash extensions. Typical symptoms of this dermatosis include painful, hyperkeratotic, and fissured pulpitis, often associated with reduced tactile sensitivity. Paronychia and nail plate destruction may also occur. Eczematous lesions can appear in anatomical areas distant from the direct contact site. We present the case of a beautician with allergic contact dermatitis confirmed by patch testing, highlighting the occupational implications of this condition.  Case report: We report the case of a 39-year-old woman who had been working as a beautician for six years and previously employed in retail. She was referred to dermatology due to bilateral pulpitis involving the thumbs and index fingers, with an 18-month duration. On clinical examination, she presented with painful, desquamative fissures on the first, second, and third fingers of the right hand and the first finger of the left hand. She also developed pruritic, erythematous lesions on the frontal region of the face. Patch testing revealed multiple positive reactions to (meth)acrylates.  Discussion/Conclusion: Cutaneous exposure to (meth)acrylates frequently induces type IV hypersensitivity reactions, most commonly manifesting as hand eczema affecting the fingertips. Allergic contact dermatitis caused by these substances is a major occupational dermatosis with significant functional impact. Once sensitized, affected workers often face difficulties in finding effective personal protective equipment. Therefore, rigorous preventive measures are essential, and in some cases, professional retraining may need to be considered.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Dermatite de Contacto Alérgica]]></kwd>
<kwd lng="pt"><![CDATA[(Meta)Acrilatos]]></kwd>
<kwd lng="pt"><![CDATA[Dermatoses Ocupacionais]]></kwd>
<kwd lng="pt"><![CDATA[Esteticista]]></kwd>
<kwd lng="pt"><![CDATA[Exposição ocupacional]]></kwd>
<kwd lng="pt"><![CDATA[Medicina do Trabalho]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem do Trabalho]]></kwd>
<kwd lng="pt"><![CDATA[Segurança no Trabalho]]></kwd>
<kwd lng="en"><![CDATA[Contact Dermatitis]]></kwd>
<kwd lng="en"><![CDATA[(Meth)Acrylates]]></kwd>
<kwd lng="en"><![CDATA[Occupational Dermatoses]]></kwd>
<kwd lng="en"><![CDATA[Beautician]]></kwd>
<kwd lng="en"><![CDATA[Occupational Exposure]]></kwd>
<kwd lng="en"><![CDATA[Occupational Medicine]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health Nursing]]></kwd>
<kwd lng="en"><![CDATA[Occupational Safety]]></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[Arora]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Tosti]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Safety and efficacy of nail products]]></article-title>
<source><![CDATA[Cosmetics]]></source>
<year>2017</year>
<volume>4</volume>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Caldas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Brito]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dermatite de Contato Alérgica aos (Meta)Acrilatos- estudo retrospetivo de sete anos num Hospital Público Português]]></article-title>
<source><![CDATA[Revista Portuguesa de Saúde Ocupacional]]></source>
<year>2020</year>
<volume>10</volume>
<page-range>1-10</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[Geukens]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Goossens]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational contact allergy to (meth)acrylates]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>2001</year>
<volume>44</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>153-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Spencer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gazzani]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Thompson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acrylate and methacrylate contact allergy and allergic contact disease a 13-year review]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>2016</year>
<volume>75</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>157-64</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Condeé-Salazar]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Guimaraens]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational allergic contact dermatitis from anaerobic acrylic sealants]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>1988</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>129-32</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[Lin]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Tsai]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Tseng]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Chu]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Allergic contact dermatitis caused by acrylates in nail cosmetic products Case reports and review of the literatures]]></article-title>
<source><![CDATA[Dermatologica Sinica]]></source>
<year>2018</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>218-21</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[Lazarov]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sensitization to acrylates is a common adverse reaction to artificial fingernails]]></article-title>
<source><![CDATA[Journal of the European Academy of Dermatology and Venereology]]></source>
<year>2007</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>169-74</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[Roche]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cuadra]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alegre]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sensitization to Acrylates Caused by Artificial Acrylic Nails Review of 15 Cases]]></article-title>
<source><![CDATA[Actas Dermo-Sifiliográficas]]></source>
<year>2008</year>
<volume>99</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>788-94</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[Kanerva]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Mikola]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Henriks-Eckerman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jolanki]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Estlander]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fingertip paresthesia and occupational allergic contact dermatitis caused by acrylics in a dental nurse]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>1998</year>
<volume>38</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>114-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodrigues-Barata]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gomez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Arceo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Barco]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational Sensitization to Acrylates with paresthesias]]></article-title>
<source><![CDATA[Dermatitis]]></source>
<year>2015</year>
<volume>26</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>103-4</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Slodownik]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tate]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prolonged paresthesia due to sculptured acrylic nails]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>2007</year>
<volume>56</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>298-199</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tosti]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rapacchiale]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Piraccini]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Peluso]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational airborne contact dermatitis due to ethylene glycol dimethacrylate]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>1991</year>
<volume>24</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>152-3</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[Kiec-Swierczynska]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Krecisz]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Chomiczewska-Skora]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occupational contact dermatitis to acrylates in a manicurist]]></article-title>
<source><![CDATA[Occupational Medicine]]></source>
<year>2013</year>
<volume>63</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>380-2</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kanerva]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cross-reactions of multifunctional methacrylates and acrylates]]></article-title>
<source><![CDATA[Acta Odontologica Scandinavica]]></source>
<year>2001</year>
<volume>59</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>320-9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Crepy]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[INRS. 2018. Dermatites de contact aux acrylates et méthacrylates]]></source>
<year>2018</year>
<publisher-name><![CDATA[INRS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morgado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Batista]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gonçalo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Short exposures and glove protection against (meth)acrylates in nail beauticians-Thoughts on a rising concern]]></article-title>
<source><![CDATA[Contact Dermatitis]]></source>
<year>2019</year>
<volume>81</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>62-3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
