Industrial ecology and skin diseases

Technogenic effects on the production of oil, coal tar, other hydrocarbons and products of their processing can lead to diseases of the sebaceous glands. Gum-related factors trigger common links in the pathogenesis of vulgar and oily acne, which are inflammation, increased sebum production, excessive follicular hyperkeratosis. There is a description of the clinical manifestations of severe oily acne in a railway worker on previously unchanged skin. We also have a description of the severe stage of the course of vulgar acne in the assistant engineer of the railway, who has a genetic predisposition, also has a history of juvenile acne of mild severity. Chemical factors such as a mixture of hydrocarbons, phenol, creosote, asbestos-containing dust can provoke oily acne in a railway worker. Oxides of nitrogen, carbon, sulfur, nitrogen dioxide, technical mixtures of hydrocarbons, violation of physiological rhythms of nutrition, sleep, rest, severity and intensity of the labor process, constant stress can lead to a relapse of vulgar acne with a more severe course in workers of locomotive crews. The given clinical examples reveal the need for interdisciplinary interaction of dermatologists-venereologists and occupational pathologists in the treatment of skin pathology in workers of harmful industries.