Allergic contact dermatitis due to nickel in household detergent
Allergic contact dermatitis (ACD) is a cutaneous inflammatory reaction caused by contact with specific exogenous allergen to which a person has developed allergic sensitization. Nickel was reported as one of the most common causes of ACD worldwide, particularly affecting females. It is associated wi...
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| Format: | Article |
| Language: | English |
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Universitas Indonesia
2017-12-01
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| Series: | JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) |
| Subjects: | |
| Online Access: | http://jgenprodvi.ui.ac.id/index.php/jdvi/article/view/51/pdf |
| _version_ | 1819102615854645248 |
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| author | Dewi Utami Putri Irma Damayanti Roesyanto-Mahadi |
| author_facet | Dewi Utami Putri Irma Damayanti Roesyanto-Mahadi |
| author_sort | Dewi Utami Putri |
| collection | DOAJ |
| description | Allergic contact dermatitis (ACD) is a cutaneous inflammatory reaction caused by contact with specific exogenous allergen to which a person has developed allergic sensitization. Nickel was reported as one of the most common causes of ACD worldwide, particularly affecting females. It is associated with a variety of nickel-containing products, from jewelry to detergent.
A 32-year-old female was presented with pruritic eruption consist of erythematous papules and vesicles on both hands and extensor forearms since 2 weeks before admission. The patient is a housewife who did handwashing clothes and kitchenware with detergent and soap every day. At first, there were erythematous papules on the right extensor forearm, then the patient wore rubber gloves to protect hands when washing. However, the lesions spread to the left extensor forearm and there were also vesicles on both hands. There was history of localized reactions to metal items, the latter one was 3 weeks ago after wearing a metal necklace. The clinical presentation were multiple erythematous papules and vesicles, erythematous and hyperpigmented macules. The patch test using Chemotechnique Diagnostics AB and square chamber showed a 2+ reaction to nickel sulfate. The patient was educated to avoid the causative allergen and treated with oral antihistamine and topical corticosteroid. The patient showed significant clinical improvement after 2 weeks.
Nickel as metal catalyst used in detergents is found in small concentration, but can lead to ACD in an already sensitized individual.The lesions persist despite the use of gloves because nickel is absorbed through rubber materia |
| first_indexed | 2024-12-22T01:37:23Z |
| format | Article |
| id | doaj.art-bcf1e30708d04bbfb3e86fb0f47a3e07 |
| institution | Directory Open Access Journal |
| issn | 2460-7991 |
| language | English |
| last_indexed | 2024-12-22T01:37:23Z |
| publishDate | 2017-12-01 |
| publisher | Universitas Indonesia |
| record_format | Article |
| series | JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) |
| spelling | doaj.art-bcf1e30708d04bbfb3e86fb0f47a3e072022-12-21T18:43:20ZengUniversitas IndonesiaJDVI (Journal of General Procedural Dermatology & Venereology Indonesia)2460-79912017-12-0122475010.19100/jdvi.v2i2.51Allergic contact dermatitis due to nickel in household detergentDewi Utami Putri0Irma Damayanti Roesyanto-Mahadi1Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sumatera Utara H. Adam Malik General Hospital, Medan, IndonesiaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Sumatera Utara H. Adam Malik General Hospital, Medan, IndonesiaAllergic contact dermatitis (ACD) is a cutaneous inflammatory reaction caused by contact with specific exogenous allergen to which a person has developed allergic sensitization. Nickel was reported as one of the most common causes of ACD worldwide, particularly affecting females. It is associated with a variety of nickel-containing products, from jewelry to detergent. A 32-year-old female was presented with pruritic eruption consist of erythematous papules and vesicles on both hands and extensor forearms since 2 weeks before admission. The patient is a housewife who did handwashing clothes and kitchenware with detergent and soap every day. At first, there were erythematous papules on the right extensor forearm, then the patient wore rubber gloves to protect hands when washing. However, the lesions spread to the left extensor forearm and there were also vesicles on both hands. There was history of localized reactions to metal items, the latter one was 3 weeks ago after wearing a metal necklace. The clinical presentation were multiple erythematous papules and vesicles, erythematous and hyperpigmented macules. The patch test using Chemotechnique Diagnostics AB and square chamber showed a 2+ reaction to nickel sulfate. The patient was educated to avoid the causative allergen and treated with oral antihistamine and topical corticosteroid. The patient showed significant clinical improvement after 2 weeks. Nickel as metal catalyst used in detergents is found in small concentration, but can lead to ACD in an already sensitized individual.The lesions persist despite the use of gloves because nickel is absorbed through rubber materiahttp://jgenprodvi.ui.ac.id/index.php/jdvi/article/view/51/pdfallergic contact dermatitisnickelmetal catalysthousehold detergentpatch test |
| spellingShingle | Dewi Utami Putri Irma Damayanti Roesyanto-Mahadi Allergic contact dermatitis due to nickel in household detergent JDVI (Journal of General Procedural Dermatology & Venereology Indonesia) allergic contact dermatitis nickel metal catalyst household detergent patch test |
| title | Allergic contact dermatitis due to nickel in household detergent |
| title_full | Allergic contact dermatitis due to nickel in household detergent |
| title_fullStr | Allergic contact dermatitis due to nickel in household detergent |
| title_full_unstemmed | Allergic contact dermatitis due to nickel in household detergent |
| title_short | Allergic contact dermatitis due to nickel in household detergent |
| title_sort | allergic contact dermatitis due to nickel in household detergent |
| topic | allergic contact dermatitis nickel metal catalyst household detergent patch test |
| url | http://jgenprodvi.ui.ac.id/index.php/jdvi/article/view/51/pdf |
| work_keys_str_mv | AT dewiutamiputri allergiccontactdermatitisduetonickelinhouseholddetergent AT irmadamayantiroesyantomahadi allergiccontactdermatitisduetonickelinhouseholddetergent |