Frequency of nickel sensitivity in patients with shoe dermatitis
Keywords:
Nickel sulfate, patch test, contact dermatitisAbstract
Objective To determine the frequency of positive patch tests for nickel in patients of shoe dermatitis. Methods This was a descriptive study carried out in the outpatient department of Dermatology Unit-II, Mayo Hospital, Lahore. A total of 50 patients were inducted in the study with ages 12 and above and either sex, with shoe dermatitis. The patients were tested using patch tests with the allergen nickel sulfate hexahydrate 5% in petrolatum base using the European standard series. Results Most of the patients were female i.e. 37 out of a total of 50. The mean age of patients was 31 years (14 to 65 years). Housewives and students were most commonly affected. 18% of the patients positively tested for nickel sulfate. Conclusion Nickel sulfate hexahydrate is a frequent allergen causing shoe dermatitis .ÂReferences
Sehgal VN, Rasool F, Srivastava G, Aggarwal A, Verma P. Footwear dermatitis: Historical background, epidemiology, clinical connotation - Part II. Skin Med. 2014;12:360-4.
Diepgen TL, Coenraads PJ, Williams H, Strachan D. Inflammatory skin diseases II: Contact dermatitis. In: Williams H, Strachan D, editors. The Challenge of Dermato-epidemiology. Boca Raton: CRC Press; 1997. P. 145-61.
Sudhashree V, Parasuramalu B, Rajana M. A clinic-epidemiological study of allergens in patients with dermatitis. Indian J Dermatol Venereol Leprol. 2006;72:235.
Sasseville D. Occupational contact dermatitis. Allergy Asthma Clin Immunol. 2008;4(2):59-65.
Lushniak BD. Occupational contact dermatitis. Dermatol Ther. 2004;17:272-7.
Shackelford KE, Belsito DV. The etiology of allergic-appearing foot dermatitis: a 5-year retrospective study. J Am Acad Dermatol. 2002;47:715-21.
Van Coevorden A, Coenraads P, Pas H, Van der Valk P. Contact allergens in shoe leather among patients with foot eczema. Contact Dermatitis. 2002;46:145-8.
Freeman S. Shoe dermatitis. Contact Dermatitis. 1997;36:247-51.
Rani Z, Hussain I, Haroon TS. Common allergens in shoe dermatitis: our experience in Lahore, Pakistan. Int J Dermatol. 2003;42:605-7.
Lynde C, Warshawsri L, Mitchell J. Patch test results with a shoewear screening tray in 119 patients, 1977-89. Contact Dermatitis. 1982;8:423-5.
Erattner A, Farchi Y, David M. Shoe contact dermatitis in Israel. Am J Contact Dermatitis. 2003;14:12-4.
Sharma VK, Chakrabarti A. Common contact sensitizers in Chandigarh, India: A study of 200 patients with European standard series. Contact Dermatitis. 1998;38:127-31.
Bajaj A, Gupta S, Chatterjee A, Singh K. Shoe dermatitis in India. Contact Dermatitis. 1988;19:372-5.
Fisher A. Some practical aspects of the diagnosis and management of shoe dermatitis. AMA Arch Dermatol. 1959;79:267-74.
Febriana S, Soebono H, Coenraads P, Schuttelaar M. Contact allergy in Indonesian patients with foot eczema attributed to shoes. J Eur Acad Dermatol Venereol. 2015;29:1582-9.
