{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T08:06:27Z","timestamp":1780646787993,"version":"3.54.1"},"reference-count":85,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Occupational contact urticaria (OCU) and protein contact dermatitis (PCD) may co\u2010exist with occupational asthma (OA) and occupational rhinitis (OR) and be caused by the same allergen. These diseases are commonly caused by immediate (immunoglobulin E (IgE)\u2010mediated) allergic sensitisation. Limited data exist on the prevalence and causes of concomitant occupational skin and airway diseases (CSAD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To analyse data from the Finnish Register of Occupational Diseases (FROD) for prevalence, main causes, and at\u2010risk occupations for concomitant occupational skin and airway diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data on recognised cases of OCU, PCD, OA and OR in the years 2005\u20132020 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092413) were retrieved from FROD and analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among OCU\/PCD cases, 27% had OA, OR, or both. Conversely, 10% of OA cases and 14% of OR cases had OCU\/PCD. Concomitant diseases were most common in farming, animal care, and food\u2010related jobs. Shared causative exposures were identified in 89% of cases, with cow dander, wheat flour, and chemicals being the most frequent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Concomitant occupational skin and airway diseases caused by shared work\u2010related allergens are relatively common. When evaluating patients with occupational immediate allergy, both skin and airway symptoms should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cod.70137","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T01:00:33Z","timestamp":1773363633000},"page":"74-85","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Occupational Contact Urticaria, Protein Contact Dermatitis and Concomitant Airway Diseases in the\n                    <scp>F<\/scp>\n                    innish\n                    <scp>R<\/scp>\n                    egister of\n                    <scp>O<\/scp>\n                    ccupational\n                    <scp>D<\/scp>\n                    iseases in 2005\u20132020: Main Causes and Occupations at Risk"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7942-2040","authenticated-orcid":false,"given":"Ville","family":"Ojanen","sequence":"first","affiliation":[{"name":"Occupational Medicine Finnish Institute of Occupational Health  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3068-9246","authenticated-orcid":false,"given":"Liisa","family":"Airaksinen","sequence":"additional","affiliation":[{"name":"Occupational Medicine Finnish Institute of Occupational Health  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2539-3395","authenticated-orcid":false,"given":"Hille","family":"Suojalehto","sequence":"additional","affiliation":[{"name":"Occupational Medicine Finnish Institute of Occupational Health  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6872-1806","authenticated-orcid":false,"given":"Kirsi","family":"Koskela","sequence":"additional","affiliation":[{"name":"Occupational Medicine Finnish Institute of Occupational Health  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0356-7064","authenticated-orcid":false,"given":"Maria","family":"Pesonen","sequence":"additional","affiliation":[{"name":"Occupational Medicine Finnish Institute of Occupational Health  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"13","volume-title":"Contact Urticaria Syndrome","author":"Aalto\u2010Korte K.","year":"2015"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12856"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.14794"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105\u2010021\u201004810\u20108"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13671\u2010022\u201000379\u20100"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.1976.tb02975.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.2007.01267.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1301758"},{"key":"e_1_2_11_10_1","first-page":"89","volume-title":"Asthma in the Workplace","author":"Suojalehto H.","year":"2022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398\u20109995.2008.01801.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00180313"},{"key":"e_1_2_11_13_1","unstructured":"Finnish Workers' Compensation Center \u201cWorker's Compensation Act 459\/2015 \u201dUnofficial English translation accessed January 15 2026 https:\/\/www.tyotapaturmatieto.fi\/julkaisu\/tyotapaturmatietopalvelu\/3402?c=25."},{"key":"e_1_2_11_14_1","unstructured":"Statistics Finland \u201cEmployment: Documentation of Statistics \u201d2025accessed January 15 2026 https:\/\/stat.fi\/en\/statistics\/documentation\/tyokay."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13488"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2008.09.010"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.23749\/mdl.v116i4.17079"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2340\/actadv.v105.43837"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13547"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12653"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.2011.02048.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1684\/ejd.2015.2593"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12308"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACI.0000000000001138"},{"key":"e_1_2_11_25_1","unstructured":"K.Koskela J.Lehtim\u00e4ki V.Ojanen et\u00a0al. \u201cAmmattitaudit ja ammattitautiep\u00e4ilyt 2019\u20132020 Finnish Institute of Occupational Health Helsinki \u201d2024 [In Finnish. English summary.] accessed January 15 2026 https:\/\/www.julkari.fi\/handle\/10024\/148219."},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.16666"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.1996.tb02400.x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.1996.tb02202.x"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.1998.tb05641.x"},{"issue":"6","key":"e_1_2_11_30_1","first-page":"259","article-title":"Occupational Allergy Caused by Cow Dander: Detection and Identification of the Allergenic Fractions","volume":"25","author":"Valero Santiago A. L.","year":"1997","journal-title":"Allergol Immunopathol (Madr)"},{"key":"e_1_2_11_31_1","first-page":"155","article-title":"Atopic Sensitization of Dairy Farmers to Work\u2010Related and Common Allergens","volume":"152","author":"Rautalahti M.","year":"1987","journal-title":"European Journal of Respiratory Diseases. Supplement"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398\u20109995.1985.tb04150.x"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.43.3.192"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.57.12.823"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004200050178"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510044205"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882\u2010025\u201001204\u2010x"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13218"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2024.05.014"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23185"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.58.9.553"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398\u20109995.1996.tb04606.x"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqt025"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22921"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.1997.tb00326.x"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1157\/13080934"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1159\/000097137"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2021.09.038"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13992"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.1997.tb00007.x"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2222.1991.tb00854.x"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.1998.tb05695.x"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.2007.01158.x"},{"issue":"5","key":"e_1_2_11_54_1","first-page":"273","article-title":"Contact Urticaria, Rhinoconjunctivitis and Bronchial Asthma From Occupational Use of Papain","volume":"27","author":"Quinones D.","year":"1999","journal-title":"Allergol Immunopathol (Madr)"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13647"},{"issue":"6","key":"e_1_2_11_56_1","first-page":"369","article-title":"Occupational Protein Contact Dermatitis and Rhinoconjunctivitis Caused by Spathe (Spathiphyllum) Flowers","volume":"42","author":"Kanerva L.","year":"2000","journal-title":"Contact Dermatitis"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.2008.01389.x"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1398\u20109995.1999.00947.x"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1046-199X(96)90031-7"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2013.09.025"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2021.04.047"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12970"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2020.09.003"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.5826\/dpc.1303a187"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.54.5.335"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2017.05.029"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050313X231179303"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1398\u20109995.2000.00572.x"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398\u20109995.2005.00661.x"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.12442"},{"key":"e_1_2_11_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13644"},{"key":"e_1_2_11_72_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed\u20102017\u2010104505"},{"key":"e_1_2_11_73_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.2009.01526.x"},{"key":"e_1_2_11_74_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.95.08030467"},{"key":"e_1_2_11_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2013.10.002"},{"key":"e_1_2_11_76_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12214"},{"key":"e_1_2_11_77_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102222.1993.tb00327.x"},{"key":"e_1_2_11_78_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.2012.02047.x"},{"key":"e_1_2_11_79_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0105-1873.2003.00134.x"},{"key":"e_1_2_11_80_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100536.1997.tb00919.x"},{"key":"e_1_2_11_81_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420\u2010016\u20101172\u20100"},{"key":"e_1_2_11_82_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398\u20109995.2004.00521.x"},{"key":"e_1_2_11_83_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22819"},{"key":"e_1_2_11_84_1","doi-asserted-by":"publisher","DOI":"10.5414\/alx02543e"},{"key":"e_1_2_11_85_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.13331"},{"key":"e_1_2_11_86_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000003435"}],"container-title":["Contact Dermatitis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cod.70137","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cod.70137","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cod.70137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T07:38:05Z","timestamp":1780645085000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cod.70137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,12]]},"references-count":85,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/cod.70137"],"URL":"https:\/\/doi.org\/10.1111\/cod.70137","archive":["Portico"],"relation":{},"ISSN":["0105-1873","1600-0536"],"issn-type":[{"value":"0105-1873","type":"print"},{"value":"1600-0536","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,12]]},"assertion":[{"value":"2026-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}