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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Inflammatory skin diseases of the feet and hands can have a marked effect on the quality of life of both adults and children&#46; While some authors consider concomitant involvement of hands and feet as a sign of a potentially endogenous cause&#44; others show the presence of contact allergy in more than 50&#37; of patients with this clinical condition&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In their article&#44; S&#225;nchez-S&#225;ez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> analyze the characteristics of 308 patients with foot eczema evaluated between 2004 and 2016 at the Skin Allergy Unit of the Dermatology Department of Hospital General Universitario de Alicante &#40;9&#46;4&#37; of all cases during the study period&#41;&#46; Their observations enable us to draw relevant conclusions for daily clinical practice&#46; Their main conclusions are as follows&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0015" class="elsevierStylePara elsevierViewall">Performance of contact allergy testing in adults with foot eczema shows that the most commonly involved allergen in our setting is potassium dichromate&#46; In addition&#44; compared with patients with eczema at other sites&#44; contact allergy is significantly more frequent and there are more clinically relevant positive results&#46; These findings seem to be more common in geographic areas with hotter and more humid climates&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0020" class="elsevierStylePara elsevierViewall">Negative patch test results are useful&#44; especially in cases of concomitant hand and foot disease&#44; since they support a clinical diagnosis of psoriasis &#40;which may be histopathologically indistinguishable from hyperkeratotic eczema<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#41; or atopic dermatitis&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">-</span><p id="par0025" class="elsevierStylePara elsevierViewall">The recommendation to refer children with treatment-refractory atopic dermatitis or lesions on the feet and&#47;or hands to the skin allergy unit is valid and consistent with recommendations from other authors&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Nevertheless&#44; while the feet are considered a clinically atypical site&#44; infantile atopic dermatitis often presents at this location&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p></li></ul></p><p id="par0030" class="elsevierStylePara elsevierViewall">The study published in the current issue of <span class="elsevierStyleSmallCaps">Actas Dermo-Sifiliogr&#225;ficas</span> enables us to better understand the importance and scope of patch testing in patients with foot eczema&#44; irrespective of whether they have concomitant hand eczema&#46; It should also lead us to consider changes in our and our patients&#8217; choice of footwear&#46;</p></span>"
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Commentaries
Suitability of patch testing in foot eczema
Eccema de los pies: oportunidad de las pruebas epicutáneas
A. Martin-Gorgojo
Sección de Especialidades Médicas, Servicio de Dermatología-Infecciones de Transmisión Sexual (ITS), Ayuntamiento de Madrid, Madrid, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Inflammatory skin diseases of the feet and hands can have a marked effect on the quality of life of both adults and children&#46; While some authors consider concomitant involvement of hands and feet as a sign of a potentially endogenous cause&#44; others show the presence of contact allergy in more than 50&#37; of patients with this clinical condition&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In their article&#44; S&#225;nchez-S&#225;ez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> analyze the characteristics of 308 patients with foot eczema evaluated between 2004 and 2016 at the Skin Allergy Unit of the Dermatology Department of Hospital General Universitario de Alicante &#40;9&#46;4&#37; of all cases during the study period&#41;&#46; Their observations enable us to draw relevant conclusions for daily clinical practice&#46; Their main conclusions are as follows&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0015" class="elsevierStylePara elsevierViewall">Performance of contact allergy testing in adults with foot eczema shows that the most commonly involved allergen in our setting is potassium dichromate&#46; In addition&#44; compared with patients with eczema at other sites&#44; contact allergy is significantly more frequent and there are more clinically relevant positive results&#46; These findings seem to be more common in geographic areas with hotter and more humid climates&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0020" class="elsevierStylePara elsevierViewall">Negative patch test results are useful&#44; especially in cases of concomitant hand and foot disease&#44; since they support a clinical diagnosis of psoriasis &#40;which may be histopathologically indistinguishable from hyperkeratotic eczema<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#41; or atopic dermatitis&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">-</span><p id="par0025" class="elsevierStylePara elsevierViewall">The recommendation to refer children with treatment-refractory atopic dermatitis or lesions on the feet and&#47;or hands to the skin allergy unit is valid and consistent with recommendations from other authors&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Nevertheless&#44; while the feet are considered a clinically atypical site&#44; infantile atopic dermatitis often presents at this location&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p></li></ul></p><p id="par0030" class="elsevierStylePara elsevierViewall">The study published in the current issue of <span class="elsevierStyleSmallCaps">Actas Dermo-Sifiliogr&#225;ficas</span> enables us to better understand the importance and scope of patch testing in patients with foot eczema&#44; irrespective of whether they have concomitant hand eczema&#46; It should also lead us to consider changes in our and our patients&#8217; choice of footwear&#46;</p></span>"
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