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March 1959

Some Practical Aspects of the Diagnosis and Management of Shoe Dermatitis

Author Affiliations

Woodside, Long Island, N. Y.

From the Department of Dermatology and Syphilology of the New York University Post-Graduate Medical School (Dr. Marion B. Sulzberger, Chairman) and the Skin and Cancer Unit of the New York University Hospital.

AMA Arch Derm. 1959;79(3):267-274. doi:10.1001/archderm.1959.01560150009002

The diagnosis of shoe dermatitis depends on the history, the clinical picture, positive patch-test reactions to shoe material, and the patient's ability to wear proper substitute shoes without dermatitis. The management of a case of shoe dermatitis does not end with the diagnosis and the treatment of an existing dermatitis. The patient must be informed how he can obtain acceptable shoes which are free from the specific materials to which he is sensitive, since, otherwise, the patient is doomed to frequent recurrences of the dermatitis or to the wearing of such poor substitutes as canvas shoes.

In this paper I am presenting the materials for "screening" patch-tests in patients with suspected shoe dermatitis and the names and addresses of shoe manufacturers and dealers where patients may obtain shoes which are free from certain specific sensitizers.

We have found that the use of the "screening" patch-testing tray has

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