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We report 2 cases that show a striking pattern of contact dermatitis to latex in underwear affecting only the legs, not the waist. The dermatitis pattern is produced by a common method of garment construction used in the manufacture of briefs with elastic leg bands.
Report of Cases.Case 1.
A 48-year-old man developed a pruritic rash on his legs over 10 days. The physical examination showed sharply demarcated erythematous bands of vesicles and moist scale encircling the proximal thigh areas (Figure 1); the waist was spared. The patient wore cotton briefs with elastic leg bands, which he discontinued wearing. When the patient resumed wearing briefs, the rash recurred. A piece of leg band latex taped to the volar arm produced confluent vesicles in 48 hours.
A 47-year-old woman presented with a pruritic rash of 2 weeks' duration. The physical examination showed eczematous dermatitis in distinct bands encircling
Rye B, Webb JM. Leg Band-Limited Latex Dermatitis From a Common Method of Underwear Construction. Arch Dermatol. 1997;133(4):536-537. doi:10.1001/archderm.1997.03890400142032