title: [Ulcerative contact dermitis caused by premixed concrete (cement burns)].
abstract: Cement dermatitis manifests clinically as a chronic dermatitis of irritative character, due to its alkaline nature and as allergic contact dermatitis produced by sensitization to chromium and cobalt occurring as trace elements. the present report deals with a mason without previous dermatitis, presenting bullae, ulcers and necrosis in lower limbs, short time after incidental contact at work, with premixed concrete. The clinical manifestations, such as short evolution, clear limitation to sites in close contact with concrete, negativity to standard patch testing and good prognosis with early treatment, are mentioned. The acute irritant nature of the disease is clear, in opposition to the classical manifestations of cement dermatitis. The need of studies of the chemical properties of this material including pH, alkalinity and the possible roll of additives employed, is part of the strategy for prevention of occupational dermatitis in the building trade, which should include also, information of hazards and proper training in their trade.
mesh_terms: D000328:Adult; D002057:Burns, Chemical / Q000276:immunology; D002857:Chromium / Q000009:adverse effects; D003035:Cobalt / Q000009:adverse effects; D003877:Dermatitis, Contact / Q000209:etiology*; D009783:Dermatitis, Occupational / Q000276:immunology*; D006801:Humans; D007871:Leg Ulcer / Q000139:chemically induced / Q000276:immunology
chemical_list: D002857:Chromium; D003035:Cobalt
vernacular_title: Dermatitis por contacto ulcerada por concreto premezclado (cement burns).