Nickel Allergy: Localized, Id, and Systemic Manifestations in Children
Article first published online: 18 NOV 2010
© 2010 Wiley Periodicals, Inc.
Volume 28, Issue 3, pages 276–280, May/June 2011
How to Cite
Hsu, J. W., Matiz, C. and Jacob, S. E. (2011), Nickel Allergy: Localized, Id, and Systemic Manifestations in Children. Pediatric Dermatology, 28: 276–280. doi: 10.1111/j.1525-1470.2010.01196.x
- Issue published online: 25 MAY 2011
- Article first published online: 18 NOV 2010
Abstract: 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.