Nickel allergy – prevalence in a population of Swedish youths from patch test and questionnaire data

Fors, Ronny; Persson, Maurits; Bergström, Erik; Stenlund, Hans; Stymne, Birgitta; Stenberg, Berndt

doi:10.1111/j.1600-0536.2007.01257.x

Cited by 46 publications

(43 citation statements)

References 22 publications

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“…Strengths of our study are the large population sample, high response rate and a low internal dropout rate (1-1.5%), and importantly, nickel allergy was assessed by a patch test. Intemal validity was assured by a missing-value analysis and has been reported previously (4). Thus, the data obtained may provide significant up-to-date information for future studies on lifestyle and nickel allergy in Sweden, and on the possible impact of the Nickel Directive (5, 6), which was implemented at the start of the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Seventy percent (4,439) also consented to patch testing; however, 63 patch tests fell off and could not be evaluated. The population, study design, sampling procedure and statistical management of drop-out/non-participation have heen described previously (4,13).…”

Section: Population and Study Designmentioning

confidence: 99%

“…In adolescents and young adults, previous populationbased studies have indicated a prevalence of nickel allergy of 9-14% and 2-3% for girls and boys, respectively (1)(2)(3)(4). The European Union (EU) has adopted a Nickel Directive that aims to prevent sensitization and elicitation of nickel dermatitis (5,6).…”

mentioning

confidence: 98%

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Lifestyle and Nickel Allergy in a Swedish Adolescent Population: Effects of Piercing, Tattooing and Orthodontic Appliances

Fors¹,

Persson²,

Bergström³

et al. 2012

Acta Derm Venerol

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The aim of this study was to estimate the prevalence of life-style practices in adolescents and their association with nickel allergy. Upper secondary school pupils (n = 4,376; 15-23 years) were patch-tested for nickel aller-gy, follow-ing completion of a questionnaire (answered by 6,095). Almost 86% girls and 21% of boys reported piercing. More girls (6%) than boys (3%) had a tattoo. Twenty-six percent of the girls and 18% of the boys were regular smokers. Vegetarian/vegan diets were reported by 20% of girls and by 6% of boys. Piercing, female gender, and vocational programme increased the risk of nickel allergy, whereas orthodontic appliance treat-ment prior to piercing reduced the risk of nickel allergy. Pupils in vocational programmes had the highest prevalence of nickel allergy. Lifestyle behaviours are interconnected and cluster in subgroups of adolescents. Female sex, piercing and choice of educational programme are prominent lifestyle markers. A trend shift is observed, where more girls than boys report tattooing.

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Section: Discussionmentioning

confidence: 99%

Section: Population and Study Designmentioning

confidence: 99%

See 1 more Smart Citation

Lifestyle and Nickel Allergy in a Swedish Adolescent Population: Effects of Piercing, Tattooing and Orthodontic Appliances

Fors¹,

Persson²,

Bergström³

et al. 2012

Acta Derm Venerol

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show abstract

“…Several studies had found a two-to tenfold higher frequency of metal hypersensitivity in females than in male patients [20][21][22][23][24]. It is believed that the female preponderance is caused by the more frequent exposure of women to metals by using earrings, ear piercing [11,[26][27][28][29][30][31][32], and other jewelry [11,[26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 94%

Intraosseous lymphocytic infiltrates after hip resurfacing arthroplasty

et al. 2009

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To identify a possible role of lymphocytic infiltrates in failure mechanism of the metal-on-metal hip resurfacing arthroplasty, the extent of lymphocytic infiltration was compared with reasons for prosthesis failure in a series of retrieval specimens. One hundred eighty-one femoral head and neck remnants were subjected to thorough analysis of histological findings and clinical data. Lymphocytic infiltrates were considered weak to moderate in 52 (28.7%) and excessive in ten (5.5%) cases. Six cases with excessive lymphocytic infiltrates belonged to the group of 33 (18.2%) revisions without obvious cause (periprosthetic fracture, component loosening, and infection) for prosthesis failure. Excessive lymphocytic infiltrates were strongly linked to the presence of proliferative desquamative synovitis (p < 0.0001). Both the excessive lymphocytic infiltrates and proliferative desquamative synovitis were associated with female gender (p < 0.05). We hypothesize that a specific cause of groin pain might be related to excessive intraosseous lymphocytic infiltrates and explained possibly by the hypersensitivity reaction of the delayed type after the hip resurfacing arthroplasty. Proliferative desquamative synovitis might constitute another morphologic feature associated with the delayed type hypersensitivity reaction.

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“…Aber nur in der Studie von Nethercott et al [48] wurden 42% der Reaktionen auf Nickel als relevant eingestuft. Zwar könnten Augenbrauenstifte, Wimpernbürstchen, nickelhaltiger Lidschatten, der aber auch Formaldehyd oder Harzsäuren (Kolophonium) enthalten kann [13,51], "permanent make-up" oder auch Body-Piercing eine Rolle spielen oder gespielt haben [5,19,33,50,70,78], weitere Ursachen können aber nickelhaltige Gegenstände sein, die mit der Gesichtshaut in Berührung kommen: Rasierapparate [16,25], mobile Telefone ("Handys"; [45,76]), Brillengestelle [4,61], Gesichtsschutzmasken [39], nickelhaltiger Staub [57], kontaminiertes Wasser [42]. Der Fall einer jungen, gegen Nickel sensibilisierten Italienerin, die ihr Gesicht mit einer Büroklammer malträtierte, um mit der so unterhaltenen Dermatitis eine bevorstehende, aber ungewünschte Heirat zu verhindern, ist hier allerdings eher eine Kuriosität [27].…”

Section: Tab 3 Ergebnisse Von 4 Multiplen Poisson-regressionsanalyseunclassified

Allergisches Gesichtsekzem

Schnuch¹,

Szliska

Uter

et al. 2008

Hautarzt

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The face is exposed to many foreign substances and may thus be a site of allergic contact dermatitis. Our aim is to elucidate the spectrum of factors associated with facial dermatitis by analyzing data of patients patch tested in the Information Network of Departments of Dermatology (IVDK) between 1995 and 2007. In 18,572 patients the main anatomical site of dermatitis was the face. Among these, the proportion of females and of patients with past or present atopic eczema was increased, while probable occupational causation was less common than in the overall group. Cosmetic allergens, as well as nickel, were significantly more common in women than men, including fragrance mix (10.8% vs. 8.3%), p-phenylenediamine (4.0% vs. 2.8%), lanolin alcohols (3.0% vs. 2.2%), Lyral(TM) (3.1% vs. 2.0%) and bufexamac (1.8% vs. 1.1%). In comparison, only epoxy resin contact allergy was diagnosed significantly more often in men than women: In patients with airborne contact dermatitis, over-represented allergens included sesquiterpene lactone mix, compositae mix, epoxy resin, (chloro-) methylisothiazolinone and oil of turpentine. In the clinical approach to patients with facial dermatitis, occupational airborne causation should be considered in addition to non-occupational (e.g., cosmetic) allergen exposure.

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Nickel allergy – prevalence in a population of Swedish youths from patch test and questionnaire data

Cited by 46 publications

References 22 publications

Lifestyle and Nickel Allergy in a Swedish Adolescent Population: Effects of Piercing, Tattooing and Orthodontic Appliances

Lifestyle and Nickel Allergy in a Swedish Adolescent Population: Effects of Piercing, Tattooing and Orthodontic Appliances

Intraosseous lymphocytic infiltrates after hip resurfacing arthroplasty

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