"Chrome" Dermatitis

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Abstract
Dermatitis from shoes may be a most disabling type of eruption, especially if the cause is not recognized. Treatment for such eruptions of the feet, when the cause is not removed, is not successful. The physician is usually able, after appropriate study and experimentation, to pinpoint the cause, remove it, and then clear the eruption. Dermatoses of the feet have been proved to be due to dyes or other chemicals in the leather,1,2to the thermoplastic material used in the box toes of shoes,3to rubber adhesives in shoes,4and to the myriad other substances that go into the leather.5-9 In his attempt to elicit the cause of an eruption of the feet, however, the physician has been guided for years by certain accepted dicta: first, that the chromium which is used in tanning most hides into shoe leather cannot cause such

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