title: Self-treatment with bleach by a Latino farmworker.
abstract: Skin disease is common among migrant Latino farmworkers. These workers rarely use formal health care services but commonly engage in self-treatment of their skin disease. We present a patient with dermatitis who self-treated with bleach. This patient illustrates a common practice that exacerbates skin disease and sheds light on social and cultural factors of which health care providers serving this community should be aware.
authors.affiliation: Department of Dermatology, the Department of Family and Community Medicine, and the Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
authors.forename: Shelley
authors.initials: S
authors.lastname: Cathcart
authors.forename: Steven R
authors.initials: SR
authors.lastname: Feldman
authors.forename: Quirina M
authors.initials: QM
authors.lastname: Vallejos
authors.forename: Lara E
authors.initials: LE
authors.lastname: Whalley
authors.forename: Sara A
authors.initials: SA
authors.lastname: Quandt
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Cabral
authors.forename: Thanh
authors.initials: T
authors.lastname: Brooks
authors.forename: Patricia
authors.initials: P
authors.lastname: Earp
authors.forename: Alan B
authors.initials: AB
authors.lastname: Fleischer
authors.forename: Mark R
authors.initials: MR
authors.lastname: Schulz
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Arcury
mesh_terms: D000382:Agricultural Workers' Diseases / Q000473:pathology / Q000628:therapy*; D001294:Attitude to Health / Q000208:ethnology; D003877:Dermatitis, Contact / Q000473:pathology / Q000628:therapy; D017453:Dermatitis, Irritant / Q000208:ethnology / Q000209:etiology* / Q000473:pathology; D003902:Detergents / Q000008:administration & dosage / Q000009:adverse effects*; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008519:Medicine, Traditional; D008875:Middle Aged; D012651:Self Medication / Q000009:adverse effects* / Q000379:methods; D012973:Sodium Hypochlorite / Q000008:administration & dosage / Q000009:adverse effects*; D014171:Transients and Migrants; D014481:United States
chemical_list: D003902:Detergents; D012973:Sodium Hypochlorite