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NICKEL ALLERGY: A
CASE REPORT
KEPANITERAAN KLINIK
ILMU KESEHATAN KULIT DAN PENYAKIT
KELAMIN
RSAL MINTOHARDJO
Haryo Ganeca W
INTRODUCTION
INTRODUCTION
A personal or
family history of
atopic eczema in
50%
Nickel contact
allergy
NICKEL ALLERGY
The most common causes of allergic contact
dermatitis
NICKEL ALLERGY
Burn
sensation
Periondotitis
or Stomatitis
Anasthesia
sensation
Metallic
taste
Hyperplasia
Gingiva
NICKEL ALLERGY
More
common in
females
than in
males
Females
under age
40 years
Josefson A, Farm G, Magnuson A, Meding B. Nickel Allergy as Risk Factor for Hand Eczema: a population-based study. Brit Jour of Der.2009:160;82834.
A CASE REPORT
Mr R, 29 Years old
Itchy in hands
Vesicel on the regio proximal interphalanx
Anasthesia sensation of taste buds
A CASE REPORT
DISCUSSION
Pompholyx can be associated with atopic dermatitis
In Nickel Sensitivity patients, Patch-test reactions show a
great variability
Oral challenge was probably the most reliable diagnostic
procedure
Wollina U. Pompholyx: A Review of Clinical Features, Differential Diagnosis, and Management. Am J Clin Dermatol.2010; 11.
DISCUSSION
Management needs to be adapted to
etiopathogenesis
Low Nickel Diet
Oral Disulfiram
Wollina U. Pompholyx: A Review of Clinical Features, Differential Diagnosis, and Management. Am J Clin Dermatol.2010; 11.
Conclusion
Nickel Sensitivity
to be related by
phompolyx
Thank You