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This case is reported on account of certain features that are of practical importance from the standpoint of occupation and testing.
REPORT OF CASE
R. L. T., a woman, aged 43, a salad maker, noted an eruption of the skin, which began about five years ago on the dorsum of each hand and extended to the arms, neck and face. The lesion when first seen consisted of erythematous, papular and vesicular eruptions. In some areas there were discrete papulovesicular eruptions. In others they coalesced to form weeping and denuded areas ranging in size from a hazelnut to 1 or 2 inches in diameter. The eruption was most marked on the hands and forearm and about the nose and mouth. From time to time she was subject to urticarial eruptions, which would occur over the hand, forearm, arm, neck and face. The patient complained of extreme pruritus.The history was negative
Rinkel HJ, Balyeat RM. OCCUPATIONAL DERMATITIS DUE TO LETTUCE. JAMA. 1932;98(2):137-138. doi:10.1001/jama.1932.27320280001011