ABSTRACT
BACKGROUND: Shoe contact dermatitis is common in both the pediatric and the adult populations. Severity of the reaction can vary greatly by patient. OBJECTIVES: Health Care Professionals of all types should be familiar with shoe related dermatitis and aware of potential antigens that can precipitate a shoe contact dermatitis. METHODS: This article reviews one of the most common patch test, the T.R.U.E., Thin-layer Rapid Use of Epicutaneous test, for determination of the causative agent in a case of shoe contact dermatitis. RESULTS: This article outlines a severe reaction to dichromate in a shoe and the clinical treatment required for a severe, limb threatening, reaction which included in-patient and out-patient management of the condition. CONCLUSION: The clinician will become familiar with several common antigens responsible for contact dermatitis, including rubber, dichromate, thimerosal and other medications and other non-shoe products that can contain these agents.