Nickel allergy

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Symptoms

By Mayo Clinic staff

If you have nickel allergy, an allergic reaction usually begins within 12 to 48 hours after exposure to a nickel-containing item and may persist for two to four weeks. The features of contact dermatitis usually appear only where your skin came into contact with nickel, but they may appear elsewhere on your body. Signs and symptoms of contact dermatitis caused by a nickel allergy include:

  • Rash or bumps on the skin
  • Itching, which may be severe
  • Redness or changes in skin color
  • Dry patches of skin that may resemble a burn
  • Blisters and draining fluid in severe cases

Sweating at the point of contact with nickel may worsen the symptoms.

When to see a doctor
If you have a skin rash and don't know how you got it, talk to your doctor. Seek emergency care if the rash develops blisters or drains fluids.

If you've already been diagnosed with nickel allergy and are sure you're reacting to nickel exposure, you may use over-the-counter treatments and home remedies recommended by your doctor in the past. Call your doctor if you see no improvement in symptoms within two weeks.

References
  1. Davis MD, et al. Changing trends and allergens in the patch test standard series: A Mayo Clinic 5-year retrospective review, January 1, 2001, through December 31, 2005. Archives of Dermatology. 2008;144(1):67-72.
  2. Tips to remember: Allergic skin conditions. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/patients/publicedmat/tips/allergicskinconditions.stm. Accessed July 14, 2008.
  3. Weston WL, et al. Overview of dermatitis. http://www.uptodate.com/home/index.html. Accessed July 22, 2008.
  4. Weston WL, et al. Patient Information: Dermatitis. http://www.uptodate.com/home/index.html. Accessed July 22, 2008.
  5. Tattoos and body piercing. American Academy of Dermatology. www.aad.org/members/media/_doc/FactSheets_TattoosBody%20Piercing%20Fact%20Sheet.doc. Accessed July 30, 2008.
  6. Meltzer DI. Complications of body piercing. American Family Physician 2005;72(10):2029-2034.
  7. Position statement on body piercing (approved by the board of directors October 24, 1998). American Academy of Dermatology. www.aad.org/Forms/Policies/Uploads/PS/PS-Body%20Piercing%206-15-07.pdf. Accessed July 30, 2008.
  8. Do's and don'ts when considering tattoos or piercings. American Society for Dermatologic Surgery. http://www.asds.net/DosAndDontsConsideringTattoosPiercings.aspx. Accessed July 29, 2008.
  9. Torpy JM, et al. JAMA patient page. Body piercing. Journal of the American Medical Association. 2004;291(8):1024.

DS00826

Oct. 4, 2008

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