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March 1921


Author Affiliations

Assistant Dermatologist, Massachusetts General Hospital; Assistant Physician, Department of Dermatology, Boston Dispensary BOSTON

Arch Derm Syphilol. 1921;3(3):235-244. doi:10.1001/archderm.1921.02350150014002

Occupational dermatitis in dentists has usually been laid at the door of some one of their antiseptics, or soaps, or in an indefinite way referred to some one of the many substances which they handle. Frequently the patient, a dentist, is informed that sooner or later experience will show the particular agent which is causing his condition. An examination of the textbooks and literature does not reveal, except in one instance, any evidence of a dermatitis associated with local anesthetics. Mook,1 in a recent paper, has reported the case of a dentist with susceptibility to apothesin, and in reporting this case states that procain gave much the same reaction as apothesin when skin tests were applied. The dermatitis in this case, however, cleared up when the use of apothesin was stopped. The attention of the profession has apparently not been called to the fact that procain may be an

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