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.

OBJECTIVES

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.

CONCLUSION

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.