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POMPHOLYX DUE TO

NICKEL ALLERGY: A
CASE REPORT
KEPANITERAAN KLINIK
ILMU KESEHATAN KULIT DAN PENYAKIT
KELAMIN
RSAL MINTOHARDJO

Haryo Ganeca W

INTRODUCTION

Common type of eczema


affecting the hands

Sometimes the feet

Pompholyx. Available at: http://www.dermnetnz.org/dermatitis/pompholyx.html. Accessed

INTRODUCTION

A personal or
family history of
atopic eczema in
50%

Often occur during


hot weather or
following
emotional upset

Nickel contact
allergy

Pompholyx. Available at: http://www.dermnetnz.org/dermatitis/pompholyx.html. Accessed on:

NICKEL ALLERGY
The most common causes of allergic contact
dermatitis

Usually begins within 12 to 48 hours after exposure

Nickel Allergy. Available at: http://www.mayoclinic.org/diseases-conditions/nickelallergy/basics/causes/con-20027616.

NICKEL ALLERGY
Burn
sensation

Periondotitis
or Stomatitis

Anasthesia
sensation

Metallic
taste

Hyperplasia
Gingiva

Nickel Allergy. Available at: http://etd.repository.ugm.ac.id/downloadfile/77961/potongan/S3-2015-276095-chapter1.pdf. Acessed on: Oct 6 th,


2015

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

Junk food consumption

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

The most probably


diagnostic
procedure is oral
challenge

Low Nickel Dit


should be
incourage in
patients

Thank You

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