To the Editor: A 44-year-old female nurse with a 4-year history of hand dermatitis was referred to an occupational dermatology clinic in Melbourne. In 2009, her hand dermatitis had worsened when she started working in a neonatal intensive care unit, where she used antimicrobial hand gel more frequently. Her hands improved when she spent time away from work but worsened again within 2 days of returning.
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Acknowledgement: Jennifer Cahill has received a grant from the Australasian College of Dermatologists (paid to the Skin and Cancer Foundation Victoria) for an occupational dermatology traineeship.