Musicians risk skin problems

[Posted: Mon 26/04/2004]

By Deborah Condon

Playing musical instruments may be bad for your skin, the results of a new study indicate.

According to British consultant dermatologist, Dr Thilo Gambichler, playing an instrument increases a person's risk of suffering from a range of skin complaints. However such complaints can usually be avoided by changing technique or making slight alterations to the instrument.

Dr Gambichler searched all the published literature for studies on instrument-related diseases in musicians. He found that the most commonly reported skin conditions were allergic reactions to specific components of instruments, such as rosin, which is used to wax the bows of stringed instruments.

Flautists, brass and string players with an allergy to nickel reportedly suffered from dermatitis of the lips, chin or hands, which in some cases, led to chronic eczema.

Simple alterations however, such as changing the brand of rosin or changing to a plastic mouthpiece could avert these conditions.

"The skin is important in the positioning and playing of a musical instrument. During practicing and performing, there is a permanent contact between the instrument and the musician's skin of varying intensity. Apart from aggravating previous skin conditions, specific dermatologic conditions may develop that are directly caused by playing an instrument", Dr Gambichler said.

Other conditions reported included 'fiddler's neck'. This is a chronic irritant condition, in which the area of skin on the side of the neck that is in contact with a violin or viola, becomes discoloured and thicker than normal.

"By becoming familiar with the known conditions associated with specific instruments, doctors will be better able to diagnose and treat musicians who have skin problems affecting their performance", Dr Gambichler added.

As most of the literature on this subject relates to skin problems in orchestral musicians, Dr Gambichler and his team are hoping to carry out a survey on skin problems suffered by other types of musicians, including jazz, rock and pop musicians.

Details of Dr Gambichler's findings are published in the journal, BMC Dermatology.


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