[Skip to Content]
[Skip to Content Landing]
Sept 22, 1969

Indian Sandal Strap Dermatitis

Author Affiliations

University of Michigan Hospitals Ann Arbor

JAMA. 1969;209(12):1906-1907. doi:10.1001/jama.1969.03160250062020

To the Editor:—  During the past 18 months we have seen six young adults with identical eczematous lesions on the dorsal surface of the feet. In each instance the location of the eruption corresponded exactly with the straps of sandals they had recently worn ( Figure). The sandals were strikingly similar, and all had been made in India. The eruption quickly subsided when the patients applied topical corticosteroids and stopped wearing the sandals. Two of the patients were patch tested to the leather from their sandal straps, formalin 5%, potassium dichromate 0.25%, paraphenylenediamine 1%, and rubber mix. The latter is Hollister-Steir's preparation of diphenylguanidine 0.1%, mercaptobenzothiazole 1%, and tetramethylthiuram disulfide 1%. Both patients had reactions only to the leather from their sandals. Four unaffected persons patch-tested to the same leather had no reactions.Contact dermatitis to foot wear is generally related to rubber compounds, linings, adhesives, dyes, or leather. The positive