Contact dermatitis to PPD rubber in Maleki shoes.
The Persian cloth shoe (Maleki) which has been in use for more than 800 years has a strong cloth sole and a woven cotton upper. In the last 20 years, used car tires have become readily available in Iran and the soles of some shoes are now made from these. A man with the typical picture of rubber dermatitis on the soles of his feet is described. On patch testing he gave a 2+ positive to PPD rubber and this was thought to be due to the fact that he had worn Maleki shoes for several years.
D003877:Dermatitis, Contact / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010655:Phenylenediamines / Q000009:adverse effects*; D012408:Rubber / Q000009:adverse effects*; D012775:Shoes / Q000009:adverse effects
D010655:Phenylenediamines; D012408:Rubber