Abstract This case describes occupational hyperhidrosis with inadequate personal protective equipment (PPE), leading to bilateral foot injuries and subsequent chronic dyshydrotic eczema. A 24-year-old male manual worker presented with bilateral foot injuries after wearing inappropriate footwear (sandals) at work. Physical examination revealed extensive plantar skin breakdown, maceration, epidermal loss, and desquamation. Diagnosis was confirmed through clinical assessment and photographic documentation, with potassium hydroxide prep excluding fungal infection. Following acute injury resolution, the patient developed chronic dyshydrotic eczema at week 10. Treatment included topical corticosteroids during flare-ups, daily emollients, trigger avoidance, and occupational modifications. At 6-month follow-up, the patient experiences intermittent dyshydrotic eczema episodes (2–4 monthly), demonstrating chronicity. This case demonstrates that occupational hyperhidrosis with inadequate PPE can cause substantial injury with chronic complications. Nonadherence to proper protective footwear was the most significant modifiable risk factor. Early recognition and workplace safety measures are essential.
Ahmed Abdulaziz Almohammadi (Tue,) studied this question.