Chromium in Welding Fumes as Cause of Eczematous Hand Eruption

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Abstract
ECZEMATOUS ERUPTIONS of the palms are a reaction pattern of highly diverse etiology. Commonly one may find the cause to be due to hypersensitivity to foods, drugs, or fungi. In some cases the hyperidrotic response to psychic tension may be a critical determinant. In other instances the cause may elude detection unless the physician has a high index of suspicion for all environmental exposures, both contactant as well as inhalant. We have recently observed a chromium-sensitive patient in whom inhalation of acetylene welding fumes triggered a severe eczematous eruption of his palms. Report of a Case A 40-year-old healthy male crane operator gave us the history of having had a chronic eczematous eruption of both hands for 14 years. At the time of onset he had been employed in a factory where he worked with a linoleum paste. He had had repeated attacks of vesicular lesions on the palmar and

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