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November 1991

Friction Dermatitis of the Thumbs Caused by Pantyhose

Author Affiliations

Department of Dermatology Stanford University Stanford, CA 94305

Arch Dermatol. 1991;127(11):1740. doi:10.1001/archderm.1991.01680100144035

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To the Editor.—  Dermatitis of the volar aspect of the thumb pads can be a difficult problem in clinical diagnosis. The thick skin here is rather resistant to many contactants, but friction may produce irritation.

Report of a Case.—  A 57-year-old woman was seen because of persistent fissured dermatitis limited to the volar aspect of the thumb pads. When asked if some activities had become awkward or difficult because of the dermatitis, she answered that none had, but then added, "Except for putting on my pantyhose."Millions of women carry out this daily maneuver that puts quite a lot of friction on the volar aspect of the thumb pads. Consider the following: the garment is gathered up, one leg at a time, thumbs on the inside. The toes are put in and the user, maintaining lateral pressure with the thumbs, pulls the garment up into place. It is during

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