Shoe contact dermatitis: a case report of an acute severe reaction to potassium dichromate.
BACKGROUND
Shoe contact dermatitis is common in both the pediatric and the adult populations. Severity of the reaction can vary greatly by patient.


OBJECTIVE
Health Care Professionals of all types should be familiar with shoe related dermatitis and aware of potential antigens that can precipitate a shoe contact dermatitis.


METHODS
This article reviews one of the most common patch test, the T.R.U.E., Thin-layer Rapid Use of Epicutaneous test, for determination of the causative agent in a case of shoe contact dermatitis.


RESULTS
This article outlines a severe reaction to dichromate in a shoe and the clinical treatment required for a severe, limb threatening, reaction which included in-patient and out-patient management of the condition.


CONCLUSIONS
The clinician will become familiar with several common antigens responsible for contact dermatitis, including rubber, dichromate, thimerosal and other medications and other non-shoe products that can contain these agents.
MetroWest Medical Center, Framingham, MA 01702, USA. dwpod@aol.com
Donald W
DW
Adams
Melissa R
MR
Marshall-Battle
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001768:Blister / Q000139:chemically induced; D001786:Blood Glucose / Q000032:analysis; D002437:Cefazolin / Q000627:therapeutic use; D004396:Coloring Agents / Q000009:adverse effects*; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007958:Leukocyte Count; D008776:Methylprednisolone Hemisuccinate / Q000627:therapeutic use; D008875:Middle Aged; D010328:Patch Tests; D011192:Potassium Dichromate / Q000009:adverse effects*; D012775:Shoes / Q000009:adverse effects*
D000900:Anti-Bacterial Agents; D001786:Blood Glucose; D004396:Coloring Agents; D005938:Glucocorticoids; D008776:Methylprednisolone Hemisuccinate; D002437:Cefazolin; D011192:Potassium Dichromate