TABLE 6-10 Skin Disorders

Reference

Study Design

Population

Outcomes

Results

Adjustments

Limitations/Comments

Eisen et al. 2005

Population-based, cross-sectional, prevalence, medical evaluation

1061 GW-deployed vs 1128 nondeployed

Full-body skin examination by physician; dermatologist used teledermatology for group 2 diagnoses

Atopic dermatitis OR 8.1, 95% CI 2.4-27.7; verruca vulgaris OR 4.02, 95% CI 1.28-12.6; any group 2 diagnosis OR 1.38, 95% CI 1.06-1.80; any group 1 diagnosis OR 0.87, 95% CI 1.06-1.80

Age, sex, race, years of education, smoking, duty type, service branch, rank

Low participation rates 53% deployed, 39% nondeployed; study conducted 10 years after war

NHSGWEVTF

(Derived from Kang et al. 2000b)

Higgins et al. 2002

Prospective case-comparison, cross-sectional prevalence

111 UK disabled GW veterans, 98 nondisabled GW veterans, 133 disabled non-GW veterans; samples derived from larger cohort study of UK veterans of GW, Bosnia peacekeepers, active-duty but nondeployed veterans

Skin examination by dermatologist blind to service history, health status

Any skin condition 47.7% vs 36.7% vs 42.8%; seborrheic dermatitis 8.1% deployed vs 2.3% nondeployed (disabled and nondisabled)

Age, sex, rank, smoking, alcohol

Skin disorders are common in veterans; finding could have been by chance; study conducted 9-10 years after war

Ishoy et al. 1999

Cross-sectional, prevalence

686 Danish peacekeepers deployed to gulf in 1990-1997 vs 231 age- and sex-matched armed forces nondeployed controls

Health examination by physician, self-report questionnaire

Prevalence of skin conditions with onset after gulf: eczema 15.0% vs 3.0%, p < 0.001; retarded wound healing 6.0% vs 1.7%, p < 0.01; other forms of skin problems 17.1% vs 5.2%, p < 0.001; hair loss or hair disease

 

Participation rate 83.6% deployed, 57.7% nondeployed; lack of information on adjustment for confounders in multivariate analysis



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