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To the Editor.—
Two cases are reported with lesions occurring under wristwatches, with the clinical appearance of a contact sensitivity to nickel but which proved to be due to fungus infections, in one case caused by Trichophyton rubrum and in the other by Candida albicans.
Report of Cases
CASE 1.—
A 50-year-old white woman, who had been under our care at intervals for seven years for a T rubrum infection of the feet, called attention to a dime-sized, well-defined, erythematous, slightly scaly, itchy area on the dorsum of the left wrist, coinciding with the area covered by a white metal wristwatch. The lesion had been present for one week. She stated she had worn the same wristwatch for many years without difficulty.Direct microscopic examination of a KOH preparation of scrapings from the lesion on the wrist revealed hyphae and spores typical of a Trichophyton. A culture on Sabouraud's medium