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Pachydermodactyly from repetitive motion in poultry processing workers: a report of 2 cases.

Authors
Sagransky-MJ; Pichardo-Geisinger-RO; Muņoz-Ali-D; Feldman-SR; Mora-DC; Quandt-SA
Source
Arch Dermatol 2012 Aug; 148(8):925-928
NIOSHTIC No.
20041740
Abstract
BACKGROUND: Pachydermodactyly is a rare, benign, acquired form of digital fibromatosis. The etiology of pachydermodactyly is unknown but is believed to be due to repeated mechanical injury of the skin. We report 2 cases identified in poultry processing workers and review other conditions associated with these cutaneous findings. OBSERVATIONS: The 2 workers in this report were employed as a chicken catcher and a chicken hanger. On examination, both workers had marked lateral thickening of the digits, with associated pain and pruritus. The workers' skin condition developed despite the use of protective gloves, and their symptoms improved when removed from work. However, the swelling due to fibromatosis persisted. CONCLUSIONS: Similar cutaneous findings have been reported in other occupations exposing individuals to repetitive skin trauma, and many patients demonstrating a compulsive habit of hand manipulation. This supports the conclusion that pachydermodactyly in these patients reflects repeated skin trauma. Repetitive mechanical injury in the poultry processing environment can result in considerable compensatory tissue changes. Preventive measures are needed to protect workers.
Keywords
Dermatology; Employee-exposure; Repetitive-work; Poultry-industry; Poultry-workers; Food-processing-workers; Hand-injuries; Extremities; Fibrous-bodies; Skin-disorders; Skin-exposure; Cumulative-trauma; Skin; Materials-handling; Manual-materials-handling; Case-studies; Cumulative-trauma-disorders; Animals
Contact
Sara A. Quandt, PhD, Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157
CODEN
ARDEAC
Publication Date
20120801
Document Type
Journal Article
Email Address
squandt@wakehealth.edu
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-009251; B20121218B
Issue of Publication
8
ISSN
0003-987X
Priority Area
Manufacturing
Source Name
Archives of Dermatology
State
NC
Performing Organization
Wake Forest University Health Sciences - Winston-Salem, North Carolina
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