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The development of skin problems among workers at a tulip bulb processing company in October 1993 was reported. A link was suspected between the outbreak of contact dermatitis and the introduction of a new fluazinam containing fungicide applied on the tulip bulbs. Work involved manual handling of the bulbs, and intense contact was found for those who peeled, selected, or planted bulbs. Twenty employees complained of dermatitis. Of the 11 examined, eight had confirmed dermatitis. Clinical symptoms included itching, redness, papules, and swelling on the forearms, backs of hands, upper arms, and the neck and face. Patch testing was conducted. All eight workers positively reacted to fluazinam. Recommendations were made to wet the bulbs before processing and for the employees to use nitrile rubber gloves and long sleeves. Vacuum cleaning and ventilation were intensified.
Contact Dermatitis, 33(1):8-11, 1995. (6 references)
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