Managing Allergic Nickel Dermatitis in Occupational Settings: A Case Report
Keywords:
allergic contact dermatitis, nickel allergy, occupational dermatitis, case report, hand eczemaAbstract
Contact dermatitis is a common cutaneous inflammatory condition, triggered by exposure to irritant substances or allergens. Nickel is the most prevalent allergen, a metal widely used in accessories, furniture, office materials, food and in industry, with multiple exposure pathways, making it difficult to assess which exposure is causing allergic dermatitis. Here, we report a case of an administrative worker with chronic hand eczema, limited to the radial metacarpophalangeal region of the left hand, caused by occupational exposure to nickel, confirmed by nickel deposition test on the hand and a positive test with a metallic stapler used at her workplace.
References
Li Y, Li L. Contact Dermatitis: Classifications and Management. Clinical reviews in allergy & im-munology. 2021;61(3):245-81. Doi: 10.1007/BF02914439
Diepgen TL, Ofenloch RF, Bruze M, et al. Prevalence of contact allergy in the general population in different European regions. The British journal of dermatology. 2016;174(2):319-29. Doi: 10.1111/bjd.14167
Ahlström MG, Thyssen JP, Wennervaldt M, et al. Nickel allergy and allergic contact dermatitis: A clinical review of immunology, epidemiology, exposure, and treatment. Contact dermatitis. 2019;81(4):227-41. Doi: 10.1111/cod.13327
Ahlström MG, Thyssen JP, Menné T, Johansen JD. Prevalence of nickel allergy in Europe following the EU Nickel Directive - a review. Contact dermatitis. 2017;77(4):193-200. Doi: 10.1111/cod.12846
Johansen JD, Aalto-Korte K, Agner T, et al. European Society of Contact Dermatitis guideline for diagnostic patch testing - recommendations on best practice. Contact dermatitis. 2015;73(4):195-221. Doi: 10.1111/cod.12432
Julander A, Skare L, Vahter M, Lidén C. Nickel deposited on the skin-visualization by DMG test. Contact dermatitis. 2011;64(3):151-7. Doi: 10.1111/j.1600-0536.2010.01856.x
Wennervaldt M, Ahlström MG, Menné T, et al. Diagnostic workup of occupational allergic nickel dermatitis in a nurse with multiple nickel exposures. Contact dermatitis. 2019;81(4):311-3. Doi: 10.1111/cod.13301
Blaser P, Rothmund B, Schmid P, et al. Nickel release from metal items in contact with skin: a comparison of methods and practical implications for regulation in Europe. Journal of environ-mental science and health Part A, Toxic/hazardous substances & environmental engineering. 2022;57(1):45-51. Doi: 10.1080/10934529.2021.2024058
Jensen P, Thyssen JP, Johansen JD, et al. Occupational hand eczema caused by nickel and evalu-ated by quantitative exposure assessment. Contact dermatitis. 2011;64(1):32-6. Doi: 10.1111/j.1600-0536.2010.01819.x
Gawkrodger DJ, McLeod CW, Dobson K. Nickel skin levels in different occupations and an esti-mate of the threshold for reacting to a single open application of nickel in nickel-allergic sub-jects. The British journal of dermatology. 2012;166(1):82-7. Doi: 10.1111/j.1365-2133.2011.10644.x
Rui F, Bovenzi M, Prodi A, et al. Nickel, cobalt and chromate sensitization and occupation. Con-tact dermatitis. 2010; 62(4):225-31. Doi: 10.1111/j.1600-0536.2009.01650.x
Lidén C, Skare L, Nise G, Vahter M. Deposition of nickel, chromium, and cobalt on the skin in some occupations - assessment by acid wipe sampling. Contact dermatitis. 2008;58(6):347-54. Doi: 10.1111/j.1600-0536.2008.01326.x
Shum K W, Meyer J D, Chen Y, et al. Occupational contact dermatitis to nickel: experience of the British dermatologists (EPIDERM) and occupational physicians (OPRA) surveillance schemes. Occup Environ Med. 2003: 60: 954–957. Doi: 10.1136/oem.60.12.954
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