Holistic Management of 42 Years Old Man with Occupational Contact Dermatitis


  • Nindy Kurnia Pratiwi Universitas Lampung
  • Fitria Saftarina universitas lampung




Keywords: family medicine, holistic, occupational contact dermatitis


Contact dermatitis is skin inflammation caused by materials or substances that stick to the skin. Occupational contact dermatitis (DKAK) is a skin disease caused by the work environment that occurs a lot in the world and contributes to economic financing. In Indonesia, the prevalence of contact dermatitis varies widely. In 2018, reported cases of contact dermatitis due to work reached 63% in Bandar Lampung City. Occupational contact dermatitis is not life-threatening but causes high morbidity due to its recurrence, which causes suffering for workers and can affect the economy and quality of life. So, it is necessary to apply a holistic and comprehensive family doctor approach in detecting risk factors, clinical problems, and patient management based on evidence-based medicine and family-approached and patient-centered. This study is a case report of a 42-year-old male patient with occupational contact dermatitis. The internal factors in the case were lack of knowledge and he never used personal protective equipment. The external factor in this case was the lack of family knowledge. Pharmacological interventions were carried out in the form of betamethasone cream, cetirizine, and urea 10% and non-pharmacological interventions in the form of education to prevent recurrences. The diagnosis and management of this patient has been carried out holistically, patient centered, family approach and based on several theories and the latest research. In the behavior change process, patients and families have reached the action stage.




Daftar Pustaka

Sularsito SA, Soebaryo RW. Dermatitis. Dalam: Ilmu Penyakit Kulit Dan Kelamin. Edisi Ke-7. Jakarta: Badan Penerbit Fakultas Kedokteran Universitas Indonesia; 2018.

Chern A, Chern CM, Lushniak BD. Occupatinal Skin Disease. Dalam: Fitzpatrick’s Dermatology. Edisi Ke-9. New York: McGraw Hill Education; 2019.

Milam EC, Nassau S, Banta E, Fonacier L, Cohen DE. Occupational Contact Dermatitis: An Update. J Allergy Clin Immunol Pract. 2020;8(10):3283-93.

Hadi A, Pamudji R, Rachmadianty M. Hubungan Faktor Risiko Kejadian Dermatitis Kontak pada Tangan Pekerja Bengkel Motor Kecamatan Plaju. Sci J Occup Saf Heal. 2021;1(1):13-27.

Rahmatika A, Saftarina F, Anggraini DI, Mayasari D. Hubungan Faktor Risiko Dermatitis Kontak pada Petani. J Kesehat. 2020;11(1):101-7.

Nanto SS. Kejadian Timbulnya Dermatitis Kontak pada Petugas Kebersihan. Med J Lampung Univ. 2016;4(8):147-52.

Hardianty S, Tarigan L, Salmah U. Faktor-Faktor yang Berhubungan dengan Gejala Dermatitis Kontak pada Pekerja Bengkel di Kelurahan Merdeka Kota Medan Tahun 2015. Lingkung dan Keselam Kerja. 2015;17(1):1-7.

Filon FL, Delneri A, Rui F, Bovenzi M, Mauro M. Contact Dermatitis in Northeast Italy Mechanics (1996-2016). Dermatitis. 2019;30(2):150-4.

Sujoso ADP, Martiana T, Martini S, Rahman FS. Factors that Correlation to Occupational Contact Dermatitis Among tobacco Farmers in Jember District, East Java Province, Indonesia. Indian J Forensic Med Toxicol. 2020;14(3):168-73.

Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI). Panduan Praktik Klinis Bagi Dokter Spesialis Dermatologi Dan Venereologi Indonesia. Jakarta: Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI); 2021.

Lampel HP, Powell HB. Occupational and Hand Dermatitis : a Practical Approach. Clin Revi Aller Immunol. 2018;56(1):60-7.

Rubins A, Romanova A, Septe M, Maddukuri S, Schwartz RA, Rubins S. Contact dermatitis: Etiologies of The allergic and Irritant Type. Acta Dermatovenerol APA. 2020;25(4):181-4.

Ahmed AS, Eldahshan RM. Occupational dermatoses: knowledge, attitudes and perceptions among motor vehicle repair workers. Int J Occup Saf Erg. 2022;28(4):2112-8.

S. Al-otaibi, H. Alqahtani. Management of Contact Dermatitis. J Dermatology Dermatologic Surg. 2015;19(2):86-91.



How to Cite

Nindy Kurnia Pratiwi, & Saftarina, F. . (2023). Holistic Management of 42 Years Old Man with Occupational Contact Dermatitis. Medical Profession Journal of Lampung, 13(3), 416-422. https://doi.org/10.53089/medula.v13i3.621




Most read articles by the same author(s)