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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 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

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Volume 5 (2021) p. 33 - 44

Abstract

Allergologie select, Vol. 5/2021 (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, and Thomas Ludwig Diepgen¹³† for the working group “Evaluation of Allergens with regard to BK No. ⁵¹⁰¹” of the ABD and the DKG in the DDG

¹Department of Dermatology, Venerology and Allergology, St. Josef-Hospital, University Hospital of the Ruhr University Bochum (UK RUB), Bochum, Germany, ²Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg, ³Dermatological Practice Dr. med. Peter Wenzel, Hattingen, Germany, ⁴Department of Dermatology, University Allergy Center, University Hospital Carl Gustav Carus, Technical University, Dresden, Germany, ⁵Department of Dermatology, University Medical Center, Mainz, Germany, ⁶Institute for Prevention and Occupational Medicine (IPA) of the German Social Accident Insurance, Department of Clinical and Experimental Occupational Dermatology, Ruhr University Bochum, Bochum, Germany, ⁷Dermatological Practice, Künzelsau, Germany, ⁸Department 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, ⁹Paul-Ehrlich-Institut (PEI), Langen, Germany, ¹⁰Division of Occupational Dermatology, Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany, ¹¹Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany, ¹²Information Network of Departments of Dermatology (IVDK), Institute at the University Medical Center Göttingen, Göttingen, Germany, ¹³University of Heidelberg, Heidelberg, Germany
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.Correspondence to:
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]

Original

Nickel and cobalt: Underestimated contact allergens in hairdressers?

Cara Symanzik, Christoph Skudlik, and Swen Malte John

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Volume 6 (2022) p. 98 - 103

Abstract

Allergologie select, Vol. 6/2022 (98-103)

Nickel and cobalt: Underestimated contact allergens in hairdressers?

Cara Symanzik¹,², Christoph Skudlik¹,², and Swen Malte John¹,²

¹Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabrück, Osnabrück, Germany ²Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany
Introduction: Nickel and cobalt were not regarded as pertinent contact allergens in the hairdressing trade for the last decades. It was even stated that the relevance of nickel allergy in the hairdressing trade has been overestimated for several years. Recently, nickel and cobalt release from a multitude of metal tools in the German hairdressing trade was documented in two field studies. Methods: Review of two field studies. Results: In 2019, nickel release from 9.2% of 229 tested metallic hairdressing tools was evidenced, and in 2021, nickel release from 27.6% as well as cobalt release from 2.1% of 475 tested tools was detected in overall 30 North German hairdressing salons. Tweezers, sectioning clips, hair clips, and straight razors were identified as nickel as well as cobalt releasing tools. Crochet hooks and tail combs were identified as only nickel releasing tools. Discussion: A variety of metallic tools – which are used daily by hairdressers – release nickel and/or cobalt in allergologically relevant amounts. This circumstance has to be considered problematic with regard to the development of work-related allergic contact dermatitis. Thus, nickel and cobalt should possibly receive greater attention as potential contact allergens in the hairdressing trade. Conclusion: The proven nickel and cobalt release from metallic hairdressing tools might entail legal ramifications in terms of insurance law. In case of nickel and cobalt allergies within the occupational group of hairdressers, metal tools might be considered as feasible sources for nickel and cobalt exposure.Correspondence to:
Dr. rer. nat. Cara Symanzik, B.Sc., M.Ed., Institut für interdisziplinäre, Dermatologische Prävention und Rehabilitation (iDerm) und Abteilung Dermatologie, Umweltmedizin und Gesundheitstheorie an der Universität Osnabrück, Am Finkenhügel 7a, 49076 Osnabrück
Email: [email protected]

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