relevance of rubber allergens, which some studies have
found to be significant.
The second most frequent diagnosis was dyshidrosis; the
theories concerning the etiology and pathogenesis of this
clinical entity are controversial and often contradictory,
and probably involve various etiological factors, such as
irritants, allergens, and idiosyncratic factors.15 None of
the patients with dyshidrotic lesions presented signs,
symptoms, or a medical history that permitted them to be
classified as atopic individuals, another aspect often cited
in the literature as an etiological factor