{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T04:52:01Z","timestamp":1766724721810,"version":"3.48.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":287,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Epoxy resins are a common cause of occupational allergic contact dermatitis. Carbon fiber\u2013laminated epoxy resin (CFLER) is a newer material with enhanced mechanical properties, but its health effects remain underreported. A 46-year-old male worker developed erythroderma involving &amp;gt;90% of his body surface and dyschromia after chronic exposure to CFLER in a confined workspace. Skin biopsy demonstrated features of chronic dermatitis, and immunohistochemistry revealed uneven melanocyte distribution. Laboratory studies showed elevated immunoglobulin E levels without internal organ dysfunction. Chest radiography indicated prominent bronchovascular markings without clinical symptoms. Intervention with topical clobetasol and avoidance of CFLER led to gradual resolution of erythroderma and improvement of dyschromia. Unlike previous reports focusing on acute epoxy resin dermatitis, this case highlights chronic skin changes and pigmentary alterations. Chronic exposure to CFLER can lead to melanocyte dysfunction, resulting in hyperpigmentation and hypopigmentation. Prompt identification and management are crucial to prevent severe complications such as high-output cardiac failure. This case emphasizes the importance of protective measures against CFLER exposure to prevent severe occupational dermatological conditions, including erythroderma and dyschromia.<\/jats:p>","DOI":"10.1093\/joccuh\/uiaf056","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T19:37:24Z","timestamp":1760557044000},"source":"Crossref","is-referenced-by-count":0,"title":["Carbon fiber\u2013laminated epoxy resin causing chronic occupational dermatosis: presentation with erythroderma and dyschromia\u2014a case report"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0864-7073","authenticated-orcid":false,"given":"Jyun-Yan","family":"Jhan","sequence":"first","affiliation":[{"name":"Department of Dermatology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Skin Institute , Hualien ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung-Hsing","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Skin Institute , Hualien ,","place":["Taiwan"]},{"name":"Doctoral Degree Program in Translational Medicine, Tzu Chi University and Academia Sinica , Hualien ,","place":["Taiwan"]},{"name":"Institute of Medical Sciences, College of Medicine, Tzu Chi University , Hualien ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"issue":"19","key":"2025122522314376100_ref1","first-page":"4026","article-title":"A brief overview on epoxies in electronics: properties, applications and perspectives","volume":"15","author":"Klyosov","year":"2023","journal-title":"Polymers."},{"issue":"6","key":"2025122522314376100_ref2","doi-asserted-by":"publisher","first-page":"842","DOI":"10.1111\/bjd.21879","article-title":"Sensitization to epoxy resin systems in the wind turbine industry: an undesirable side-effect of renewable energies","volume":"187","author":"Brans","year":"2022","journal-title":"Br J Dermatol"},{"issue":"4","key":"2025122522314376100_ref3","doi-asserted-by":"publisher","first-page":"e304","DOI":"10.1111\/ajd.12846","article-title":"Systemic contact dermatitis caused by inhalation of epoxy resin in industrial waste vapour","volume":"59","author":"Tsutsumi","year":"2018","journal-title":"Australas J Dermatol"},{"issue":"6","key":"2025122522314376100_ref4","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1177\/0731684413518255","article-title":"Mechanical performance of epoxy\/carbon fiber laminated composites","volume":"33","author":"Rahmani","year":"2014","journal-title":"J Reinf Plast Compos"},{"issue":"1","key":"2025122522314376100_ref5","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1111\/cod.14431","article-title":"Occupational exposure to epoxy components and risk of dermatitis: a registry-based follow-up study of the wind turbine industry","volume":"90","author":"Christiansen","year":"2024","journal-title":"Contact Derm"},{"issue":"3","key":"2025122522314376100_ref6","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1111\/j.1600-0536.1990.tb04779.x","article-title":"Occupational dermatoses from epoxy resin compounds","volume":"23","author":"Jolanki","year":"1990","journal-title":"Contact Derm"},{"issue":"3","key":"2025122522314376100_ref7","first-page":"196","article-title":"Epoxy resin and illness in the workplace: allergies in the workplace","volume":"28","author":"Fick","year":"2015","journal-title":"Curr Allergy Clin Immunol"},{"issue":"2","key":"2025122522314376100_ref8","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.clindermatol.2018.12.002","article-title":"The rash that becomes an erythroderma","volume":"37","author":"Inamadar","year":"2019","journal-title":"Clin Dermatol"},{"issue":"9","key":"2025122522314376100_ref9","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.ad.2018.05.011","article-title":"A practical approach to the diagnosis and treatment of adult erythroderma. 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