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Allergic Contact Dermatitis to Gold

Allergic Contact Dermatitis to Gold Abstract To the Editor.— Gold is an inert metal, rarely implicated as a contact allergen. Although allergic contact dermatitis (ACD) to gold is much less common than ACD to nickel or cobalt, it must be considered in certain cases, especially in jewelry dermatitis.The following case reports of two patients seen less than six months apart illustrate the clinical features and necessary investigations of ACD to gold. Report of Cases.—Case 1.— A 34-year-old woman had a four-year history of eczema occurring primarily in areas of metal contact. The most severely affected areas were the earlobes. She had worn pierced earrings for many years, but once her dermatitis began she was unable to wear even "expensive" 14-carat gold. She was also unable to wear gold necklaces or her wedding ring.Examination revealed chronic eczema on the left ring finger and lower earlobes. Patch testing was performed and read at References 1. Fisher AA: Contact Dermatitis , ed 3. Philadelphia, Lea & Febiger, 1986, pp 729-732. 2. Iwatsuki K, Tagami H, Moriguchi T, et al: Lymphadenoid structure induced by gold hypersensitivity . Arch Dermatol 1982; 118:608-611.Crossref 3. Wiesenfeld D, Ferguson MM, Forsyth A, et al: Allergy to dental gold . Oral Surg 1984;57:158-160.Crossref 4. Fisher AA: Metallic gold: The cause of a persistent allergic `dermal' contact dermatitis . Cutis 1974;14:177-180. 5. Fowler JF: Selection of patch test materials for gold allergy . Contact Dermatitis 1987;17:23-25.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Allergic Contact Dermatitis to Gold

Archives of Dermatology , Volume 124 (2) – Feb 1, 1988

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1988.01670020013006
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Gold is an inert metal, rarely implicated as a contact allergen. Although allergic contact dermatitis (ACD) to gold is much less common than ACD to nickel or cobalt, it must be considered in certain cases, especially in jewelry dermatitis.The following case reports of two patients seen less than six months apart illustrate the clinical features and necessary investigations of ACD to gold. Report of Cases.—Case 1.— A 34-year-old woman had a four-year history of eczema occurring primarily in areas of metal contact. The most severely affected areas were the earlobes. She had worn pierced earrings for many years, but once her dermatitis began she was unable to wear even "expensive" 14-carat gold. She was also unable to wear gold necklaces or her wedding ring.Examination revealed chronic eczema on the left ring finger and lower earlobes. Patch testing was performed and read at References 1. Fisher AA: Contact Dermatitis , ed 3. Philadelphia, Lea & Febiger, 1986, pp 729-732. 2. Iwatsuki K, Tagami H, Moriguchi T, et al: Lymphadenoid structure induced by gold hypersensitivity . Arch Dermatol 1982; 118:608-611.Crossref 3. Wiesenfeld D, Ferguson MM, Forsyth A, et al: Allergy to dental gold . Oral Surg 1984;57:158-160.Crossref 4. Fisher AA: Metallic gold: The cause of a persistent allergic `dermal' contact dermatitis . Cutis 1974;14:177-180. 5. Fowler JF: Selection of patch test materials for gold allergy . Contact Dermatitis 1987;17:23-25.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Feb 1, 1988

References