{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T21:38:58Z","timestamp":1768340338053,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Metalworkers are exposed to many sensitizing and irritant substances. There are no published data on contact allergy in this population in the Baltic countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To detect skin symptoms related to occupational exposure and to describe the reactivity pattern to the European baseline series in workers from two metal plants in Lithuania.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional study 185 metalworkers (154 production workers and 31 office staff) filled an interviewer\u2010administered questionnaire. Patch testing was performed in 135 metalworkers and office staff, as a control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Metalworkers younger than 40\u2009years complained statistically significantly more often of skin symptoms, especially on the hands and face, than older workers. Physician\u2010diagnosed skin diseases were reported in 1.7% of cases. Metalworkers, working &lt;20\u2009years in the factory, more often had skin symptoms. Contact with chemicals at the workplace was suspected as the main factor provoking skin symptoms. Metalworkers were sensitized mainly to cobalt, and nickel was the most prevalent allergen among office staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Younger metalworkers more often had skin symptoms suspected of being work\u2010related compared to older ones. Sensitization to cobalt was more prevalent in the metalworkers than in the control group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.13681","type":"journal-article","created":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T09:39:34Z","timestamp":1596101974000},"page":"450-457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Heavy metals and the skin: Sensitization patterns in Lithuanian metalworkers"],"prefix":"10.1111","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4693-0436","authenticated-orcid":false,"given":"Kotryna","family":"Linauskiene","sequence":"first","affiliation":[{"name":"Vilnius University Faculty of Medicine, Institute of Clinical Medicine, Clinic of Chest diseases, Immunology and Allergology  Vilnius Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marl\u00e9ne","family":"Isaksson","sequence":"additional","affiliation":[{"name":"Lund University Sk\u00e5ne University Hospital, Department of Occupational and Environmental Dermatology  Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5834-5915","authenticated-orcid":false,"given":"Laura","family":"Malinauskiene","sequence":"additional","affiliation":[{"name":"Vilnius University Faculty of Medicine, Institute of Clinical Medicine, Clinic of Chest diseases, Immunology and Allergology  Vilnius 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