Dog Tag Dermatitis and Nickel Allergy in the Military

Dever, Tara T.; Gibbs, Neil F.; Jacob, Sharon E.

doi:10.1097/der.0b013e31823d17e8

Cited by 8 publications

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“…Five articles were found to report occupational exposures to nickel. 15,26,30,72,73 Occupational sources included items such as a stethoscope, 30 chalk, 26 and a military-issued lanyard chain from an identification neck tag (aka ''dog tag''). 72 The most commonly reported nonoccupational sources were Essure contraceptive microinserts (15 cases) and Amplatzer septal occluders for atrial septal defects (12 cases; Table 2).…”

Section: Resultsmentioning

confidence: 99%

Nickel Allergy in Adults in the US

Goldenberg¹,

Vassantachart²,

Lin³

et al. 2015

Dermatitis

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Although a significant number of nickel dermatitis cases are seen clinically, most cases are neither patch-tested nor captured in the literature, allowing for a prospering hidden nickel epidemic. We present a qualitative review utilizing the public medical library of peer-reviewed US adult nickel dermatitis cases with the goal of identifying regional variations and trends. Between 1962 and 2015, 18,251 adult patients were reported to be sensitized to nickel. The number of articles has exponentially increased over the past 5.5 decades as 4.3% of total cases were reported between the 1960s and 1990s, 31.3% between 2000 and 2009, and 64.3% were reported between 2010 and 2015. Geographically, 27 US states have had at least 1 reported case of adult nickel dermatitis. Rising rates of US nickel dermatitis noted in our findings further highlight the need for medical professionals, legislators, and manufacturers to advocate for regulation of nickel-containing items.

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Section: Resultsmentioning

confidence: 99%

Nickel Allergy in Adults in the US

Goldenberg¹,

Vassantachart²,

Lin³

et al. 2015

Dermatitis

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“…20 Several case reports have linked nickel ACD in the military with the wearing of metal ''dog tags.'' 22 A simple alternative is the use of ''Dog tag'' plastic-coated chains that can be found in most military uniform shops or online. For watches, patients should consider watchbands made of other materials than metal, such as surgical grade stainless steel, cloth, or plastic.…”

Section: Jewelrymentioning

confidence: 99%

Nickel-Free Alternatives Raise Awareness

et al. 2015

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“…ICD in military soldiers is most frequently due to alcohols, oils, grease, disinfectants, soaps and cleaners, petroleum, solvents, and wet work [ 140–143 ]. ACD occurs in military soldiers most commonly from exposure to military uniforms, camouflage, industrial fluids, shrapnel, and standard military vaccinations [ 141 ]. Military soldiers with ACD had a significantly higher atopy rate and a shorter duration of dermatitis compared to civilians in a 2018 Israeli study of textile and shoe ACD [ 144 ].…”

Section: Dermatitismentioning

confidence: 99%

“…Untreated CD limits a soldier’s ability to participate in certain military duties and may lead discharge from the military. Therefore, proper diagnosis and management of both ICD and ACD is crucial [ 141 ]. Management involves avoidance of the causative agent, topical steroids, antihistamines, topical immunomodulators (such as tacrolimus and pimecrolimus), and systemic corticosteroids for severe cases [ 145–147 ].…”

Section: Dermatitismentioning

confidence: 99%

A review of skin disease in military soldiers: challenges and potential solutions

Singal,

Lipner

2023

Annals of Medicine

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Introduction: Military soldiers comprised 1,195 million United States active-duty members and 778,000 reserve members in 9/2021. Soldiers are often exposed to drastic climates, environments, and living conditions which may make them more susceptible to cutaneous diseases. Methods: A PubMed search of studies published between 1/1/2002 – 8/30/2022, using MeSH terms: ((("Military Personnel"[Majr]) OR "Military Hygiene"[Majr])) OR "Military Medicine"[Majr]) AND "Skin Diseases"[Majr]), the reference lists of select articles, and other applicable sources were reviewed to identify articles on skin conditions affecting military soldiers and treatment options. Discussion: In this article, we review skin conditions that affect military soldiers in both the deployed and non-deployed settings including infectious diseases, arthropod associated diseases, sexually transmitted infections, ultraviolet radiation related skin disease, acne, diseases of hair and hair follicles, dermatitis, onychocryptosis, and conditions caused by extreme weather conditions and occupational exposures. We also discuss treatment options and prevention methods as they relate to military settings. Conclusion: Dermatological conditions can considerably impact soldiers’ wellbeing and military performance, often lead to evacuation of military personnel, and are associated with high financial costs. Cutaneous disease is one of most common reasons for soldiers to seek medical care and may cause significant morbidity. Serving in the military often impacts and limits treatment options.

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Dog Tag Dermatitis and Nickel Allergy in the Military

Cited by 8 publications

References 0 publications

Nickel Allergy in Adults in the US

Nickel Allergy in Adults in the US

Nickel-Free Alternatives Raise Awareness

A review of skin disease in military soldiers: challenges and potential solutions

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