ONE OF the means of establishing the causation of contact dermatitis is the careful observation of the localization and of the exact outline of the lesion. Many contacts responsible for dermatitis produce characteristic designs. Significant as they are, little attention has been focused on them in the past. Wise and Sulzberger1 first presented a classification of typical sites, and one of us (Waldbott2) has established a series of diagrams depicting typical localizations of dermatitis on the surface of the whole body. It was impossible to incorporate details about the hands in these diagrams. Yet, dermatitis of the hands is not only common, but its causes are by far the most difficult to determine. It is, therefore, desirable to present a classification of contact dermatitis of the hands according to the pattern of the lesions.
Photographs taken of lesions in 51 cases formed the basis of this study.
WALDBOTT GL, SHEA JJ. CAUSATIVE DIAGNOSIS OF CONTACT DERMATITISII. A Classification of Patterns on the Hands. Arch Derm Syphilol. 1948;57(6):975–984. doi:10.1001/archderm.1948.01520190054007