Allergologie select, Volume 5 (2021) - 1st Issue (33 - 44)

Assessment of the effects of a work-related allergy to seafood on the reduction of earning capacity in the context of BK No. 5101
Heinrich Dickel1, Annette Kuehn2, Beate Dickel3, Andrea Bauer4, Detlef Becker5, Manigé Fartasch6, Michael Haeberle7, Swen Malte John8, Vera Mahler9, Christoph Skudlik8, Elke Weisshaar10, Thomas Werfel11, Johannes Geier12, Thomas Ludwig Diepgen13† for the working group “Evaluation of Allergens with regard to BK No. 5101” of the ABD, the DKG in the DDG
1 Department of Dermatology, Venerology and Allergology, St. Josef-Hospital, University Hospital of the Ruhr University Bochum (UK RUB), Bochum, Germany, 2 Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg, 3 Dermatological Practice Dr. med. Peter Wenzel, Hattingen, Germany, 4 Department of Dermatology, University Allergy Center, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany, 5 Department of Dermatology, University Medical Center, Mainz, Germany, 6 Institute for Prevention and Occupational Medicine (IPA) of the German Social Accident Insurance, Department of Clinical and Experimental Occupational Dermatology, Ruhr University Bochum, Bochum, Germany, 7 Dermatological Practice, Künzelsau, Germany, 8 Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück and Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrück, Osnabrück, Germany, 9 Paul-Ehrlich-Institut (PEI), Langen, Germany, 1  0 Division of Occupational Dermatology, Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany, 1  1 Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany, 1  2 Information Network of Departments of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany, 1  3 University of Heidelberg, Heidelberg, Germany

   

 

DOI 10.5414/AL0DB380E

Abstract

Fish, crustaceans, and mollusks are among the most potent allergenic foods of animal origin and are thus important triggers of work-related immediate-food allergies. In Germany, work-related seafood allergies are of great importance in the fishing and processing industries as well as in the areas of food preparation, food control, and food sales. There is no causal therapy of seafood allergy, only the strict and lifelong avoidance of allergens remains. The following recommendations serve to assess the impact of a seafood allergy with regard to the work opportunities ended by it for the assessment of the reduction of earning capacity (MdE (German for Minderung der Erwerbsfähigkeit)) in the context of the occupational disease number 5101 of the Annex to the German regulation for occupational diseases. As a special feature of work-related seafood allergy with regard to insurance law aspects, it must be taken into account that there is a potential risk of systemic reaction with subsequent multi-organ involvement. For the estimation of MdE in the general labor market, the impact of a seafood allergy can therefore be assessed, depending on its clinical severity, as generally “mild” to “severe” in justified individual cases.

Author Details

Authors

Departments

  • 1 Department of Dermatology, Venerology and Allergology, St. Josef-Hospital, University Hospital of the Ruhr University Bochum (UK RUB), Bochum, Germany,
  • 2 Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg,
  • 3 Dermatological Practice Dr. med. Peter Wenzel, Hattingen, Germany,
  • 4 Department of Dermatology, University Allergy Center, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany,
  • 5 Department of Dermatology, University Medical Center, Mainz, Germany,
  • 6 Institute for Prevention and Occupational Medicine (IPA) of the German Social Accident Insurance, Department of Clinical and Experimental Occupational Dermatology, Ruhr University Bochum, Bochum, Germany,
  • 7 Dermatological Practice, Künzelsau, Germany,
  • 8 Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück and Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrück, Osnabrück, Germany,
  • 9 Paul-Ehrlich-Institut (PEI), Langen, Germany,
  • 1 
  • 0 Division of Occupational Dermatology, Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany,
  • 1 
  • 1 Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany,
  • 1 
  • 2 Information Network of Departments of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany,
  • 1 
  • 3 University of Heidelberg, Heidelberg, Germany

Address

Priv.-Doz. Dr. med. Heinrich Dickel, Department of Dermatology, Venerology and Allergology, St. Josef-Hospital, University Hospital of the Ruhr University Bochum (UK RUB), Gudrunstraße 56, 44791 Bochum, Germany
Email: [email protected]

Citation

Heinrich Dickel, Annette Kuehn, Beate Dickel, Andrea Bauer, Detlef Becker, Manigé Fartasch, Michael Haeberle, Swen Malte John, Vera Mahler, Christoph Skudlik, Elke Weisshaar, Thomas Werfel, Johannes Geier, and Thomas Ludwig Diepgen† for the working group “Evaluation of Allergens with regard to BK No. 5101” of the ABD and the DKG in the DDG.Assessment of the effects of a work-related allergy to seafood on the reduction of earning capacity in the context of BK No. 5101. 2021; 5: 33-44. doi: 10.5414/AL0DB380E.

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