Dermatitis of the Foot: Epidemiologic and Clinical Features in 389 Children

Background/Objectives Footwear dermatitis is a form of contact dermatitis resulting from exposure to shoes. There have been only small studies regarding foot contact dermatitis in children. The present study was undertaken to define the prevalence and epidemiologic and clinical features of shoe derm...

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Bibliographic Details
Published in:Pediatric dermatology 2017-09, Vol.34 (5), p.535-539
Main Authors: Ortiz‐Salvador, José‐María, Esteve‐Martínez, Altea, García‐Rabasco, Ana, Subiabre‐Ferrer, Daniela, Martínez‐Leboráns, Lorena, Zaragoza‐Ninet, Violeta
Format: Article
Language:English
Subjects:
Adolescent
Allergens
Atopy
Child
Child, Preschool
Children
Cobalt
Cobalt chloride
Contact dermatitis
Dermatitis
Dermatitis, Allergic Contact - epidemiology
Dermatitis, Allergic Contact - etiology
Eczema
Epidemiology
Feet
Female
Foot
Foot Dermatoses - diagnosis
Foot Dermatoses - epidemiology
Foot Dermatoses - etiology
Humans
Infant
Male
Mercury
Nickel
Occupational hazards
Patch Tests
Potassium dichromate
Prevalence
Retrospective Studies
Shoes - adverse effects
Sulfates
Thimerosal
Tinea pedis
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Summary:Background/Objectives Footwear dermatitis is a form of contact dermatitis resulting from exposure to shoes. There have been only small studies regarding foot contact dermatitis in children. The present study was undertaken to define the prevalence and epidemiologic and clinical features of shoe dermatitis in children. Methods A retrospective study was undertaken of all children referred for patch testing between 1996 and 2015. Children with dermatitis limited to the feet were selected. Results We collected data from 389 children younger than 16 years, 52 of whom (13.4%) were referred with dermatitis exclusively on the feet. Diagnosis after patch testing was allergic contact dermatitis in 23 children (44.2%), atopic eczema in 12 (23.1%), juvenile plantar dermatosis in 8 (15.4%), dyshidrotic eczema in 6 (11.5%), irritant contact dermatitis in 2 (3.8%), and tinea pedis in 1 (1.9%). The most frequent allergens were potassium dichromate, thimerosal, cobalt chloride, mercapto mix, colophonium, mercury, and nickel(II) sulfate. Conclusion Allergic contact dermatitis caused by footwear is a common cause of foot dermatitis in children. Children with foot dermatitis should be referred for patch testing when an allergic origin is suspected.
ISSN:0736-8046
1525-1470
DOI:10.1111/pde.13203