Abstract
Allergy to shoes is a fairly common problem in a dermatologist's practice. In a five-vear period 43 cases were documented. Shoe dermatitis is often incorrectly diagnosed as fungus infection, atopic eczema, or psoriasis. Employing only clinical criteria in the diagnosis of foot dermatoses can be misleading since shoe contact dermatitis may involve such atypical areas as the soles and is often not symmetrical. Proper patch testing with portions of the patient's own shoes is essential in making a diagnosis and is helpful from the standpoint of treatment. A shoe screening tray of rubber additives and other chemicals is a useful adjunct. As rubber-based adhesives or lining materials are the most commonly encountered offenders, finding suitable nonallergenic foot-wear can be a difficult problem. The majority of patients do well once the diagnosis is made.
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