Rank: Guest 
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I wonder if anyone can help please. I have a person with eczema on their arms and hands who occasionally has to work with motor oils. All types of gloves, hand creams, barrier creams seem to aggrevate the eczema, I don't really want to say that this person has to cease working within this environment without first asking if anyone knew of more specialist gloves/creams etc that we could try?
Any help and advice would be much appreciated. Kind thanks.
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Rank: New forum user
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Have you tried chatting to Chris Packham (Enviroderm 01386 831 777 www.enviroderm.co.uk) about this issue - he is a well known expert in this field. Alternatively you may find a referral to a dermatologist very useful as they will be able to provide you with recommendations for reasonable adjustments/restrictions/accommodations. It could be that it is the PPE causing the problem as well as the exposure to motor oils..........
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Rank: Super forum user 
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In addition to Fiona's suggestions, I am not sure of your set up, but if you have access to an Occupational Health service, you might want to see if they can advise. Prob worth making sure that the dr has some experience in dermatolgy first though.
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Rank: Forum user
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My best advice would be if that the chemicals are clearly aggrevating the condition you should stand them down from their duties until you get a satisfactory answer. Leaving them to continue in their role when clearly their condition is not improving could be viewed negativly. Agree with previous poster may well be that the PPE or creams could be aggrevating the condition - latex/lanolin etc well known to aggrevate the skin. PM me if you would like the number of a really good OH doctor. You may even find that it is not work at all - we had such a case where we thought it was the PPE or the greases employees using and turned out to be a stress related condition (not work related I hasten to add!!!)
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Rank: Forum user 
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General principles would involve steering clear of barrier creams unless they are used on medical advice since that may aggrevate the problem and can interact with some glove materials.
If gloves are necessary but aggrevate the eczema the next step is review glove type AND use a cotton liner. This makes sure that the gloves are protecting against the oil and the cotton liner protects against the glove material, sweat etc.
Ian
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Rank: New forum user
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Just wanted to say thanks to those who responded. Sorry about the delay, but I've had problems accessing the forum.
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Rank: Super forum user
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Comments on this forum are generally good, particularly the advice to avoid barrier creams and Ian's re liners.
Creams should not be applied to the skin, however, if gloves are to be donned, as this will potentially aggravate the problem and also increase the risk of that person developing an allergic reaction.
The information in your posting is not sufficient to be more precise. There is a vast different in the way we manage an irritant skin reaction compared with an allergic reaction. Possibly you need that employee to undergo a clinical investigation by a dermatologist specialising in contact dermatitis. As I don't know where you are located I cannot suggest who you should contact (I am a member of the British Contact Dermatitis Society as it happens, but not a medical practitioner so don't do clinical work!).
Chris
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