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Shoe dermatitis

S Freeman1

  • 1Skin & Cancer Foundation, Darlinghurst, New South Wales, Australia.

Contact Dermatitis
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Diagnosing shoe allergy through patch testing can improve chronic foot dermatitis. Most patients found suitable footwear and experienced symptom improvement after identifying their specific allergens.

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Area of Science:

  • Dermatology
  • Allergology
  • Contact Dermatitis

Background:

  • Chronic foot dermatitis is often disabling, with footwear allergy a potential, yet challenging, diagnosis.
  • Patch testing for shoe components can be complex, and literature on patient follow-up is scarce.

Purpose of the Study:

  • To analyze the outcomes of patients diagnosed with allergic contact dermatitis from footwear.
  • To determine if allergen identification aids in finding suitable footwear and improves dermatitis.

Main Methods:

  • Retrospective analysis of 55 patients diagnosed with shoe allergy.
  • Follow-up data collected on 48 of these patients to assess footwear strategies and dermatitis improvement.

Main Results:

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  • Rubber was the most frequent allergen, followed by chromate, p-tertiary-butylphenol-formaldehyde resin, and colophony.
  • 87.5% of followed patients showed improvement or complete resolution of their foot dermatitis.
  • Successful footwear sourcing was achieved by most patients using various strategies.

    • Conclusions:

    • Patch testing is crucial for patients with refractory foot dermatitis to rule out shoe allergy.
    • Identifying specific footwear allergens empowers patients to manage dermatitis and find appropriate footwear, leading to significant improvement.