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Contact Alternatives to Nickel

Nijhawan, Rajiv I. MD*; Jacob, Sharon E. MD

doi: 10.1097/DER.0b013e3182a5a1bf
Contact Allergen Alternatives

Allergic contact dermatitis to nickel is a continued health concern internationally. Nickel has been found to be the most prevalent and relevant allergen in tested populations for the last 3 decades. Furthermore, recent data from the North American Contact Dermatitis Group demonstrate positive patch-test reactions to nickel at approximately 19.5% of their tested population and a significant increase in the positivity rates for the last decade (Dermatitis. 2013;24:10–21. J Am Acad Dermatol. 1998;38:911–918). Because of the rise in allergic contact dermatitis rates to nickel, the American Contact Dermatitis Society recognized nickel to be the 2008 Allergen of the Year (J Am Acad Dermatol. 2009;60:1067–1069; Dermatitis. 2008;19:3–8). This article recognizes the importance of nickel avoidance and highlights potential alternatives.

From the *Department of Dermatology, St Luke’s-Roosevelt Hospital Center, NewYork, NY; and †Division of Dermatology, University of California, San Diego - Rady Children’s Hospital.

Address reprint requests to Sharon E. Jacob, MD, 3325 La Jolla Village Dr, 111B, San Diego, CA 92161. E-mail:

The authors have no funding or conflicts of interest to declare.

© 2013 American Contact Dermatitis Society
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