Gold Allergy in North America

Fowler, Joseph F.; Taylor, J.R.; Storrs, Frances J.; Sherertz, Elizabeth F.; Rietschel, Robert L.; Pratt, Melanie D.; Mathias, Toby C.G.; Marks, James G.; Maibach, Howard I.; Fransway, Anthony F.; DeLeo, Vincent A.; Belsito, D.

doi:10.1097/01634989-200103000-00002

Cited by 15 publications

(26 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most of the reactive patients were women (54/55; 98.1%). The North American Contact Dermatitis Group (NACDG) reported that 90.2% of patients allergic to gold were women (10). Table 3 shows the positive rates by age group.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Gold allergy in Japan

2003

View full text Add to dashboard Cite

In Japan, gold dermatitis due to ear piercing increased in the early 1990s, but has subsequently become rare. To evaluate this clinical finding and to determine the frequency of gold allergy in Japan, we analysed the results of patch testing with 0.2% gold chloride from 1990 to 2001. 653 patients were tested from March 1990 to December 2001. 55 patients showed a positive reaction to gold (8.4%). Significantly more women (10.2%) than men (0.8%) reacted (P < 0.005), but there was no significant difference between positive rates from 1990 to 1995 (9.2%) and from 1996 to 2001 (7.2%). Our data suggest that patients with gold allergy did not decrease in number, despite a decreased number of patients showing clinically overt gold dermatitis. Thus, gold allergy has changed from being clinically overt to becoming occult in Japan.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Even though contact dermatitis patients, all except 1 gold dermatitis patient showed no clinical signs and symptoms suggesting gold allergy in the later 6 years. In this respect, the NACDG made an interesting suggestion: gold allergy has the propensity for facial and eyelid dermatitis (10).…”

Section: Discussionmentioning

confidence: 99%

Gold allergy in Japan

2003

View full text Add to dashboard Cite

show abstract

“…One-third of these gold-sensitive patients were also patch test positive to nickel, and one-fifth were sensitive to cobalt. Unfortunately, the relevance of these patients' dermatitis to the positive patch test was not discussed (31).…”

Section: Gold Was Selected As the Contact Allergen Of The Year For 20mentioning

confidence: 99%

Contact dermatitis to metals

Garner

2004

Dermatol Ther

135

View full text Add to dashboard Cite

Metals are in close contact with skin and mucous membranes on a repeated, if not constant, basis. Nickel and mercury, well-recognized causes of contact dermatitis; gold and palladium, recently gaining acceptance as patch test allergens on standard screening trays; and cobalt are reviewed in this article. Sensitization to nickel, the most frequently identified allergen on patch testing, is associated with ear piercing. Contact with this potential allergen is ubiquitous. Mercury may be encountered as organic mercury in thimerosal, used as an antiseptic and a preservative in topical medications and vaccines, and metallic mercury found in dental amalgam and thermometers. Both forms may cause contact dermatitis. Gold, recognized as a frequent sensitizer, has been implicated in some cases of eyelid, patchy diffuse and oral lichenoid dermatitis. Cobalt allergy, found frequently in patients who are nickel allergic, also has been associated with ear piercing. Palladium sensitivity is often associated with nickel allergy. However, the incidence of clinical relevance is yet to be established.

show abstract

“…Shakoor et al 12 and How et al 13 also reported reasonably high incidences of sensitivity to gold in their studies on adults in Saudi Arabia (13.5%) and Malaysia (15.2%). In comparison, Fowler et al 18 reported the 9.5% of their patients with suspected contact allergy in North America had a sensitivity to gold. Exposure to gold, resulting in contact allergy is believed to come from three main sources: dental fixtures, jewelry and medical use such as medications and coronary artery stents.…”

Section: Discussionmentioning

confidence: 93%

Contact sensitivity in paediatric patients with atopic dermatitis in Laos

Wootton

Sodaly²,

Billamay³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Dermatological services in Laos, South East Asia are limited mainly to the capital and patch testing is currently not available, so no data exists regarding the common cutaneous allergens in this population. Objectives The aim of this study was to document common allergens in paediatric patients with atopic dermatitis attending the allergy clinic in the capital, Vientiane. Patients/Materials/Methods Fifty paediatric patients with atopic dermatitis were patch tested using TRUE Test® panels 1 to 3 (35 allergens). Readings were taken at Days 2 and 4. Results Twenty-six positive patch tests were recorded on Day 4 in 15 children (30%). The most common allergens were: gold (18%), nickel (10%), formaldehyde (6%) and p-Phenylenediamine (6%). Other positive allergens were potassium dichromate (2%), cobalt dichloride (2%), Bronopol (2%), paraben mix (2%), fragrance mix 1 (2%) and neomycin (2%). The majority of the patients with positive reactions were female. Conclusions This study represents the first documented patch test results in the Lao population. It is hoped that these findings will help clinicians to advise the families of children with atopic dermatitis on common allergens to avoid and inform future work on contact dermatitis in this population.

show abstract

Gold Allergy in North America

Cited by 15 publications

References 0 publications

Gold allergy in Japan

Gold allergy in Japan

Contact dermatitis to metals

Contact sensitivity in paediatric patients with atopic dermatitis in Laos

Contact Info

Product

Resources

About