perspective
EVA Suit Dermatitis: Clinical Characterization and Mitigation Strategies in 89 Cases: Systematic Review
Dr. S. Ibrahim
· Lunar Medical Research Cooperative
Lunar Dermatology · Vol. 2, No. 1 · December 29, 2025
Abstract
Follow-up investigation building on prior work. Prolonged contact with EVA suit materials causes a spectrum of dermatological conditions in frequent EVA workers. Pressure-point dermatitis, contact sensitization, and regolith particle microtrauma combine to create a distinct clinical syndrome. We describe 89 cases and evaluate mitigation strategie...
Extended analysis and updated findings. EVA suit dermatitis represents a convergence of physical and chemical irritant mechanisms. The inner suit liner creates prolonged pressure contact at predictable anatomical sites. Sweat and suit material interaction creates a chemical irritant environment. And despite decontamination protocols, microscopic regolith particles persist on suit inner surfaces and act as mechanical irritants.
We retrospectively analyzed 89 cases presenting to Aristarchus Plateau Clinic over 36 months. Pressure dermatitis at shoulder and hip contact points was most common (58%). Contact dermatitis from suit polymer off-gassing affected 21 cases. Regolith microtrauma presented as a distinctive distribution of folliculitis-like lesions in 10 cases.
Mitigation strategies with demonstrated efficacy: moisture-wicki...
We retrospectively analyzed 89 cases presenting to Aristarchus Plateau Clinic over 36 months. Pressure dermatitis at shoulder and hip contact points was most common (58%). Contact dermatitis from suit polymer off-gassing affected 21 cases. Regolith microtrauma presented as a distinctive distribution of folliculitis-like lesions in 10 cases.
Mitigation strategies with demonstrated efficacy: moisture-wicki...
Keywords
dermatitis, EVA, suit, regolith, skin, contact dermatitis, occupational dermatology