Blue-Jean Button Nickel: Prevalence and Prevention of Its Release from Buttons

Suneja, Tina; Flanagan, Katherine H.; Glaser, Dee Anna

doi:10.2310/6620.2007.07013

Cited by 17 publications

(12 citation statements)

References 15 publications

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“…To illustrate the level of nickel exposure, 4 recent US surveys demonstrated excessive nickel release (as assessed by the nickel stick test) from a high proportion of earrings, clothing fasteners, buttons, and belt buckles. [35][36][37][38] Taken together, these results suggest that a regulatory intervention may be a useful tool when handling contact allergy epidemics.…”

Section: Discussionmentioning

confidence: 88%

Prevalence of nickel and cobalt allergy among female patients with dermatitis before and after Danish government regulation: A 23-year retrospective study

Thyssen

Johansen

Carlsen

et al. 2009

Journal of the American Academy of Dermatology

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Section: Discussionmentioning

confidence: 88%

Prevalence of nickel and cobalt allergy among female patients with dermatitis before and after Danish government regulation: A 23-year retrospective study

Thyssen

Johansen

Carlsen

et al. 2009

Journal of the American Academy of Dermatology

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“…Metal allergy typically develops early in life following prolonged or repeated skin contact with consumer items such as jewelry (Meijer et al 1995, Hindsen et al 2005, Thyssen and Maibach 2008, Thyssen et al 2009a), clothing fasteners (Suneja et al 2007, Heim and McKean 2009), cell phones (Seishima et al 2003, Thyssen et al 2008b), and leather (Geier et al 2000, Hansen et al 2006). Upon repeated or prolonged cutaneous exposure, allergic individuals may develop allergic contact dermatitis, an itchy disorder characterized by erythema, papules, and vesicles.…”

Section: Introductionmentioning

confidence: 99%

The association between metal allergy, total hip arthroplasty, and revision

et al. 2009

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Background and purpose It has been speculated that the prevalence of metal allergy may be higher in patients with implant failure. We compared the prevalence and cause of revisions following total hip arthroplasty (THA) in dermatitis patients suspected to have contact allergy and in patients in general with THA. Furthermore, we compared the prevalence of metal allergy in dermatitis patients with and without THA.Materials and methods The Danish Hip Arthroplasty Registry (DHAR) contained detailed information on 90,697 operations. The Gentofte patch-test database contained test results for patients suspected of having allergic contact dermatitis (n = 18,794). Cases (n = 356) were defined as patch-tested dermatitis patients who also had primary THA performed. Two age- and sex-matched controls (n = 712) from the patch-test database were sought for each case.Results The prevalence of revision was similar in cases (12%) and in patients from the DHAR (13%). The prevalence of metal allergy was similar in cases and controls. However, the prevalence of metal allergy was lower in cases who were patch-tested after operation (6%) than in those who were patch-tested before operation (16%) (OR = 2.9; 95% CI = 1–8).Interpretation We found that the risk of surgical revision was not increased in patients with metal allergies and that the risk of metal allergy was not increased in cases who were operated, in comparison to controls. Despite some important study limitations, our observations add to the evidence that the risk of complications in metal allergic patients seems limited.

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“…Metal allergies (or hypersensitivities) are characterized by contact allergies to Cr, Co, or Ni, and are found in roughly 10–15% of the general population . Metal allergy can develop from extended exposure to items, such as jewelry, cell phones, and clothing fasteners . This is of concern to orthopaedic surgeons because if a patient has a metal allergy, implanting a metal hip could potentially have negative consequences, such as hives, eczema, redness, and itching (in <1% joint replacement patients) .…”

Section: Metals Utilized During Tjrmentioning

confidence: 99%

“…115,116 Metal allergy can develop from extended exposure to items, such as jewelry, cell phones, and clothing fasteners. [116][117][118][119][120][121][122][123] This is of concern to orthopaedic surgeons because if a patient has a metal allergy, implanting a metal hip could potentially have negative consequences, such as hives, eczema, redness, and itching (in <1% joint replacement patients). 124 Ni is often found in the CoCr alloys that are used in orthopaedic implants, and has been shown to be the strongest immunological sensitizing metal when compared with Co and Cr.…”

Section: Metals Utilized During Tjrmentioning

confidence: 99%

The biological response to orthopaedic implants for joint replacement: Part I: Metals

Gibon

Amanatullah

Loi

et al. 2016

J. Biomed. Mater. Res.

109

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Joint replacement is a commonly performed, highly successful orthopaedic procedure, for which surgeons have a large choice of different materials and implant designs. The materials used for joint replacement must be both biologically acceptable to minimize adverse local tissue reactions, and robust enough to support weight bearing during common activities of daily living. Modern joint replacements are made from metals and their alloys, polymers, ceramics, and composites. This review focuses on the biological response to the different biomaterials used for joint replacement. In general, modern materials for joint replacement are well tolerated by the body as long as they are in bulk (rather than in particulate or ionic) form, are mechanically stable and noninfected. If the latter conditions are not met, the prosthesis will be associated with an acute/chronic inflammatory reaction, peri-prosthetic osteolysis, loosening and failure. This article (Part 1 of 2) is dedicated to the use of metallic devices in orthopaedic surgery including the associated biological response to metallic byproducts is a review of the basic science literature regarding this topic.

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Blue-Jean Button Nickel: Prevalence and Prevention of Its Release from Buttons

Cited by 17 publications

References 15 publications

Prevalence of nickel and cobalt allergy among female patients with dermatitis before and after Danish government regulation: A 23-year retrospective study

Prevalence of nickel and cobalt allergy among female patients with dermatitis before and after Danish government regulation: A 23-year retrospective study

The association between metal allergy, total hip arthroplasty, and revision

The biological response to orthopaedic implants for joint replacement: Part I: Metals

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