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November 6, 1937


Author Affiliations

Chief of Examining Clinic, Inland Steel Company; EAST CHICAGO, IND.

JAMA. 1937;109(19):1511-1517. doi:10.1001/jama.1937.02780450015005

The constantly increasing list of materials which are causative agents in the production of disabling industrial dermatoses has in recent years caused justifiable concern to industrial management. Plant physicians and dermatologic consultants are more and more put to the test of solving the difficult questions of etiology, pathogenesis and effective treatment.

The now widely used patch test, as emphasized by the excellent work of Sulzberger,1 has proved to be especially useful in determining the specific causes of these dermatoses. As a rule, even the well trained observer gets little help in the discovery of cause from the physical appearance of the lesions. The stages of erythema, vesiculation, varying degrees of induration, fissuring, oozing, scaling and pigmentation at one phase or another are common to most industrial dermatoses. The factors of configuration and distribution are not of much help. The removal of the victim from contact with substances to which