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Nickel Allergy: Localized, Id, and Systemic Manifestations in Children
Author(s) -
Hsu Jessica W.,
Matiz Catalina,
Jacob Sharon E.
Publication year - 2010
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2010.01196.x
Subject(s) - nickel allergy , medicine , allergy , dermatology , contact dermatitis , atopic dermatitis , allergen , patch testing , allergic contact dermatitis , nickel , patch test , contact allergy , immunology , materials science , metallurgy
Nickel is the most common allergen causing allergic contact dermatitis in patch‐tested children, especially in female children. Allergy to this metal can manifest in a variety of ways. In this case series, we present four children to illustrate the different presentations of nickel allergy confirmed by patch testing. Localized, id, and systemic nickel reactions are reviewed, as well as the diagnosis and management of nickel allergic contact dermatitis. While localized dermatitis in areas of direct contact to the allergen is the most common and easiest form of nickel allergy to identify, recognition of varying presentations is critical as these can result in more chronic and severe symptoms, and can be misdiagnosed as atopic dermatitis.