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Its prevalence and the causative allergens differ between occupations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the prevalence of ACD and the pattern of patch test results of patients taking part in a tertiary individual prevention programme (TIP) for OSD in Germany.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>In a retrospective cohort study, the data of 3411 TIP patients patch tested between 2007 and 2016 were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2687 (78.8%) patients, work\u2010related skin disease was diagnosed, mostly hand dermatitis. The highest proportion of face dermatitis was seen in painters (8.1%). ACD was most common in painters (56.8%), hairdressers (45.8%), construction workers (31.5%), gardeners\/florists (26.7%), and metalworkers (26.5%). On average, hairdressers had the youngest age (31.4 \u00b1 12.6 years, <jats:italic>P<\/jats:italic> &lt; 0.0001) and the shortest time in the profession prior to the TIP (mean 13.7 years). The pattern of patch test reactivity showed occupation\u2010specific differences related to work exposures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Identification of occupational groups at risk for ACD and relevant allergens may help in the development and implementation of targeted prevention strategies. Our data suggest that there should be a particular focus on hairdressers and painters.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.13098","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T07:33:36Z","timestamp":1543822416000},"page":"35-44","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Tertiary prevention of occupational skin diseases: Prevalence of allergic contact dermatitis and pattern of patch test results"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1245-024X","authenticated-orcid":false,"given":"Richard","family":"Brans","sequence":"first","affiliation":[{"name":"Department of Dermatology Environmental Medicine and Health Theory, University of Osnabr\u00fcck  Osnabr\u00fcck Germany"},{"name":"Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at the University of Osnabr\u00fcck  Osnabr\u00fcck 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