A case of XXXX to dimethylfumarate in shoes identified in Italy.

@entity1 @entity821 @entity9104 @entity5526 @entity484
The present paper describes a case of shoe @entity5526 from DMF identified by the Poison Control Centre of Milan (PCCM), Italy, in 2009. A 35 year old @entity1 was affected by irritant reactions while wearing shoes contaminated with @entity9104 . Exposure to these shoes was limited to a 8 hour period and was not repeated. In the following days the @entity1 suffered feet blistering and swelling limited to the area in contact with shoe vamp. Topical application of @entity821 did not prevent development of @entity484 . After 20 days from exposure, the lesions were healed but the skin remained red, dry and very sensitive. Chemical analyses of shoes quantified an average concentration of DMF of 383 mg/kg. The @entity1 refused to be patch tested. The observation here reported confirm that DMF should be considered a possible causal agent in shoe @entity5526 . Documentation of cases exposed to this chemical provide a relevant support to characterize clinical manifestations and to identifying contaminated articles.
