Ortiz-Salvador José-María, Esteve-Martínez Altea, García-Rabasco Ana, Subiabre-Ferrer Daniela, Martínez-Leboráns Lorena, Zaragoza-Ninet Violeta
Dermatology Department, Valencia University General Hospital, Valencia, Spain.
Pediatr Dermatol. 2017 Sep;34(5):535-539. doi: 10.1111/pde.13203. Epub 2017 Jul 21.
BACKGROUND/OBJECTIVES: Footwear dermatitis is a form of contact dermatitis resulting from exposure to shoes. There have been only small studies regarding foot contact dermatitis in children. The present study was undertaken to define the prevalence and epidemiologic and clinical features of shoe dermatitis in children.
A retrospective study was undertaken of all children referred for patch testing between 1996 and 2015. Children with dermatitis limited to the feet were selected.
We collected data from 389 children younger than 16 years, 52 of whom (13.4%) were referred with dermatitis exclusively on the feet. Diagnosis after patch testing was allergic contact dermatitis in 23 children (44.2%), atopic eczema in 12 (23.1%), juvenile plantar dermatosis in 8 (15.4%), dyshidrotic eczema in 6 (11.5%), irritant contact dermatitis in 2 (3.8%), and tinea pedis in 1 (1.9%). The most frequent allergens were potassium dichromate, thimerosal, cobalt chloride, mercapto mix, colophonium, mercury, and nickel(II) sulfate.
Allergic contact dermatitis caused by footwear is a common cause of foot dermatitis in children. Children with foot dermatitis should be referred for patch testing when an allergic origin is suspected.
背景/目的：鞋类皮炎是一种因接触鞋子而导致的接触性皮炎。关于儿童足部接触性皮炎的研究较少。本研究旨在确定儿童鞋类皮炎的患病率、流行病学及临床特征。
对1996年至2015年间所有因斑贴试验前来就诊的儿童进行回顾性研究。选取足部局限性皮炎的儿童。
我们收集了389名16岁以下儿童的数据，其中52名（13.4%）仅因足部皮炎前来就诊。斑贴试验后的诊断结果为：23名儿童（44.2%）为过敏性接触性皮炎，12名（23.1%）为特应性湿疹，8名（15.4%）为青少年跖部皮炎，6名（11.5%）为汗疱疹样湿疹，2名（3.8%）为刺激性接触性皮炎，1名（1.9%）为足癣。最常见的变应原是重铬酸钾、硫柳汞、氯化钴、巯基混合物、松香、汞和硫酸镍（II）。
鞋类引起的过敏性接触性皮炎是儿童足部皮炎的常见病因。怀疑有过敏源性足部皮炎的儿童应进行斑贴试验。
