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Nickel contact dermatitis from hypodermic needles.

Mehta V, Vasanth V, Balachandran C - Indian J Dermatol (2011)

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Affiliation: Department of Dermatology, Dr Hassan Al Abdulla Medical Centre, Doha, Qatar and Department of Skin and STD, Kasturba Medical College, Manipal, Karnataka, India. E-mail: drvandanarai@yahoo.com.

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The patient had recently recovered from typhoid fever, and while she was in hospital, she gave history of repeated blood withdrawals from the site... She did not relate any immediate itching or burning sensation following cleansing with the antiseptic solution... Systemic contact dermatitis due to nickel release from an intravenous catheter has been reported... Koizumi et al. reported a patient in whom dermatitis occurred following contact with acupuncture needles which also contained nickel... Since the facility to analyze the composition of the needle was not available at our center, we failed to accurately measure the nickel content in our case... Nickel released from nickel plated metals often induces allergic sensitization, but for stainless steels containing nickel, the effect is not well known... As laid down by the European directive, the amount of bioavailable nickel released from these metals onto the skin should be less than 0.5 µg/cm/week... Although only a minority of nickel-sensitive individuals would react to less than 0.5 µg/cm/week of nickel released, it may not be safe for every nickel-sensitive individual... Hence, this report reaffirms that medical equipment as an elicitor of contact dermatitis should not be overseen... Though the DMG test can be used as a first-line test for determining nickel release, DMG negative metallic articles may also induce nickel sensitization, and should by no means be advertised as safe in this respect... To conclude, any metal coming in prolonged contact with skin and releasing more than 0.5 µg/cm /week should be prohibited as per the European directive on nickel.

No MeSH data available.


Strong patch test positive result to nickel sulfate
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Figure 2: Strong patch test positive result to nickel sulfate

Mentions: Case 1: A 23-year-old student presented with an itchy eruption on her forearms for 2 weeks. The patient had recently recovered from typhoid fever, and while she was in hospital, she gave history of repeated blood withdrawals from the site. She did not relate any immediate itching or burning sensation following cleansing with the antiseptic solution. Also, a positive history of similar symptoms on using artificial jewellery was elicited. On examination, multiple skin colored erythematous papules in bilateral anticubital fossae were noted [Figure 1]. Few of the papules showed central crusting. Patch testing using Indian standard series of allergens revealed 2+ reaction to nickel sulfate at 48 and 72 hours [Figure 2].


Nickel contact dermatitis from hypodermic needles.

Mehta V, Vasanth V, Balachandran C - Indian J Dermatol (2011)

Strong patch test positive result to nickel sulfate
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3108538&req=5

Figure 2: Strong patch test positive result to nickel sulfate
Mentions: Case 1: A 23-year-old student presented with an itchy eruption on her forearms for 2 weeks. The patient had recently recovered from typhoid fever, and while she was in hospital, she gave history of repeated blood withdrawals from the site. She did not relate any immediate itching or burning sensation following cleansing with the antiseptic solution. Also, a positive history of similar symptoms on using artificial jewellery was elicited. On examination, multiple skin colored erythematous papules in bilateral anticubital fossae were noted [Figure 1]. Few of the papules showed central crusting. Patch testing using Indian standard series of allergens revealed 2+ reaction to nickel sulfate at 48 and 72 hours [Figure 2].

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Dr Hassan Al Abdulla Medical Centre, Doha, Qatar and Department of Skin and STD, Kasturba Medical College, Manipal, Karnataka, India. E-mail: drvandanarai@yahoo.com.

AUTOMATICALLY GENERATED EXCERPT
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The patient had recently recovered from typhoid fever, and while she was in hospital, she gave history of repeated blood withdrawals from the site... She did not relate any immediate itching or burning sensation following cleansing with the antiseptic solution... Systemic contact dermatitis due to nickel release from an intravenous catheter has been reported... Koizumi et al. reported a patient in whom dermatitis occurred following contact with acupuncture needles which also contained nickel... Since the facility to analyze the composition of the needle was not available at our center, we failed to accurately measure the nickel content in our case... Nickel released from nickel plated metals often induces allergic sensitization, but for stainless steels containing nickel, the effect is not well known... As laid down by the European directive, the amount of bioavailable nickel released from these metals onto the skin should be less than 0.5 µg/cm/week... Although only a minority of nickel-sensitive individuals would react to less than 0.5 µg/cm/week of nickel released, it may not be safe for every nickel-sensitive individual... Hence, this report reaffirms that medical equipment as an elicitor of contact dermatitis should not be overseen... Though the DMG test can be used as a first-line test for determining nickel release, DMG negative metallic articles may also induce nickel sensitization, and should by no means be advertised as safe in this respect... To conclude, any metal coming in prolonged contact with skin and releasing more than 0.5 µg/cm /week should be prohibited as per the European directive on nickel.

No MeSH data available.