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Nickel allergy : Causes-Symptoms-Diagnosis-Treatment

 What is Nickel allergy?

Nickel allergy is a type of contact dermatitis that causes an allergic reaction when a person is exposed to nickel or substances containing nickel. Allergic contact dermatitis develops when the skin comes in contact with an allergen. The reaction can range from mild skin rash to severe blisters and cracking of the skin. Symptoms usually appear within 48 hours and can last for several weeks.

Nickel allergy is a type of allergic contact dermatitis which arises due to contact with nickel or nickel containing items. Nickel is a very common metal found in many different objects, including zippers, jewelry, keys, coins, and cell phones. Allergies to nickel can cause an itchy rash and other uncomfortable symptoms like swelling and redness. It can be difficult to identify the source of the allergy as nickel can be present in such a variety of items, but it is important to do so in order to avoid further irritation.

What is Nickel allergy?
Nickel allergy

Medical terms

  • Nickel allergy is a condition in which an individual has an adverse reaction to nickel found in jewelry, clothing, and other items. Nickel can cause an allergic reaction when it touches the skin, leading to redness, itching, and swelling. In some cases, serious reactions can occur that require medical attention. It is important to understand how this condition develops and what steps you can take to prevent or reduce an allergic reaction.
  • Nickel allergy is a type of contact dermatitis caused by an allergic reaction to items containing nickel. Nickel is a metal found in many everyday objects such as jewelry, buttons, coins, and cell phones. When the skin comes in contact with nickel, it triggers an immune response in the body which causes an allergic reaction. Symptoms of a nickel allergy can include redness, itchy patches, bumps, or blisters on the skin.
  • Nickel allergy is a type of skin allergy caused by exposure to items containing the metal nickel. This reaction can occur when the metal comes in contact with the skin, leading to redness, itching, and swelling. In severe cases, it can also lead to blistering, scaling, and cracking of the skin. In some cases, exposure to nickel can cause an anaphylactic reaction, which can be life threatening if not treated immediately.

Symptoms Nickel allergy

An hypersensitive reaction (touch dermatitis) usually starts off evolving within hours to days after publicity to nickel. The reaction might also last as long as 2 to 4 weeks. The response tends to arise handiest where your skin got here into contact with nickel, but sometimes may additionally seem in different locations on your frame.

Nickel hypersensitivity signs and symptoms encompass:

  • Rash or bumps on the pores and skin

  • Itching, which can be extreme

  • Redness or adjustments in skin shade

  • Dry patches of skin which can resemble a burn

  • Blisters and draining fluid in excessive instances

When to see a health practitioner

If you have a pores and skin rash and do not know how you acquire it, communicate with your medical doctor. If you've already been identified with a nickel hypersensitive reaction and are sure you're reacting to nickel exposure, use the over the counter remedies and domestic treatments your doctor has formerly encouraged.

However, if these remedies do not assist, name your health practitioner. If you watched the location and may have turned out to be infected, see your medical doctor properly. Signs and signs and symptoms that could indicate an infection include:

  • Increased redness

  • Warmth

  • Pus inside the affected vicinity

  • Pain

Causes Nickel allergy

The genuine reason for the nickel hypersensitive reaction is unknown. As with different allergic reactions, nickel allergic reaction develops whilst your immune machine perspectives nickel as a damaging, in place of harmless substance. Normally, your immune machine only reacts to guard your body towards micro organisms, viruses or toxic substances.


Once your body has advanced a reaction to a particular agent (allergen) — in this case, nickel — your immune machine will usually be touchy to it. That method whenever you return into touch with nickel, your immune gadget will reply and bring an allergic reaction.


Your immune machine's sensitivity to nickel may broaden after your first exposure or after repeated or extended publicity.

Sources of nickel publicity

Common gadgets which can divulge you to nickel include:

  • Jewelry for body piercings

  • Other rings, together with earrings, bracelets, necklaces and jewelry clasps

  • Watchbands

  • Clothing fasteners, inclusive of zippers, snaps and bra hooks

  • Belt buckles

  • Eyeglass frames

  • Coins

  • Metal gear

  • Cellphones

  • Keys

  • Military "dog-tag" ID

  • Chalk

  • Medical devices

  • Laptops or laptop pills

  • E-cigarettes

Some extremely sensitive human beings may be affected by nickel-containing ingredients. Some foods that include high quantities of nickel consist of soy products, peas, canned foods, cocoa powder, clams and cashews.

Risk Nickel allergy

Certain elements may additionally boom your hazard of developing nickel hypersensitivity, together with:

  • Having ear or frame piercings. Because nickel is commonplace in earrings, nickel allergy is most customarily associated with rings and other frame-piercing earrings containing nickel.

  • Working with steel. If you work in an occupation that continuously exposes you to nickel, your threat of developing an allergic reaction can be better than its miles for a person who does not work with the steel.

  • In addition, human beings who've everyday exposure to nickel while doing "wet paintings" — as a result of either sweat or frequent touch with water — may be much more likely to increase nickel hypersensitive reaction. These human beings might also consist of bartenders, folks who work in sure meals industries and domestic cleaners.

  • Other those who might also have an improved risk of nickel allergy include metalworkers, tailors and hairdressers.

  • Being a woman. Females are much more likely to have a nickel allergic reaction than are males. This can be due to the fact females tend to have greater piercings. A current take a look at locations that obese ladies appear to have an excellent better hazard of nickel allergic reaction.

  • Having a family record of nickel hypersensitive reactions. You may additionally have inherited an inclination to expand a nickel hypersensitivity if other human beings for your family are touchy to nickel.

  • Being allergic to other metals. People who have a sensitivity to different metals will also be allergic to nickel.

Prevention Nickel allergy

The high-quality strategy to prevent a nickel hypersensitive reaction from growing is to keep away from extended exposure to gadgets containing nickel. If you already have a nickel allergy, the exceptional manner to prevent an allergy is to avoid touch with the metallic.

However, it is no longer constantly easy to keep away from nickel because it's present in so many products. Home test kits are available to check for nickel in steel items.

How can nickel allergy be controlled?

Nickel allergy is a common sensitivity to the metal nickel, which can lead to contact dermatitis. People who suffer from this condition must take extra caution to avoid coming into contact with nickel. While contact dermatitis can be treated with ointments and creams, the best way to manage nickel allergy is by avoiding contact with it. For those who are unable to completely avoid nickel, they should wear protective clothing when they come into contact with it and use specialized cleaning products.

Nickel allergies are a common problem that affects millions of people worldwide. By understanding the causes of nickel allergies and the steps that can be taken to minimize exposure, it can be easier to control nickel reactions and live a more comfortable life. Taking preventative measures such as avoiding contact with products containing nickel, using hypoallergenic substances and wearing protective clothing can lower the risk of coming into contact with nickel and reduce the severity of reactions in those who are already allergic. Additionally, for those who suffer from severe nickel allergies, there are medications available to treat symptoms and avoid anaphylaxis.

Here are some methods to do that:

  • Choose jewelry that doesn't incorporate nickel.

  • Clothing fasteners like belt buckles and zippers are regularly made with nickel, but you could use plastic or plastic-coated ones alternatively.

  • The same goes for household items like kitchen tools, keys, razors and eyeglass frames: select things that don't incorporate nickel.

  • Use a protective cover on digital gadgets consisting of cell phones and pc computer systems.

  • Some foods include small amounts of nickel, so in a few cases where the rash entails the fingers or regions beyond direct touch with nickel-containing objects, a low-nickel avoidance food trial can be prescribed. This involves now not ingesting ingredients that include quite a few of it. These encompass soy products, nuts, chocolate, legumes (which includes peas, beans, and lentils), and oatmeal.

  • Wash any frame component which you think would possibly have come into contact with nickel.

  • You should buy testing kits that use a compound known as dimethylglyoxime to check items for nickel.

Diagnosis Nickel allergy

Your doctor can typically diagnose nickel hypersensitive reactions primarily based on your pores and skin's look, and a latest publicity to gadgets that may include nickel.

If the cause of your rash is not obvious, but, your doctor may advocate a patch test (touch allergic reaction allergy take a look at). He or she can also refer you to an hypersensitivity professional (allergist) or a skin expert (dermatologist) for this check.

  1. Skin test

Patch checking out

During a patch test, very small quantities of potential allergens (inclusive of nickel) are applied to your skin and covered with small patches. The patches stay on your pores and skin for two days before the medical doctor removes them. If you've got a nickel allergy, the skin under the nickel patch will be inflamed when the patch is removed or inside the days after elimination of the patch.

Because of the low concentrations of allergens used, patch assessments are safe even for humans with excessive allergic reactions.

  1. Patch test

Treatment Nickel allergy

The first step in treating nickel hypersensitive reaction is warding off touch with the metal. There's no therapy for nickel allergic reaction. Once you expand a sensitivity to nickel, you'll increase a rash (contact dermatitis) every time you return into touch with the metallic.


Your doctor can also prescribe one of the following medicinal drugs to lessen infection and enhance the circumstance of a rash from a nickel hypersensitive reaction reaction:

  • Corticosteroid cream, such as clobetasol (Clobex, Cormax, others) and betamethasone dipropionate (Diprolene). Long-time period use of those can result in skin thinning.

  • Nonsteroidal lotions, including tacrolimus (Protopic). The maximum common aspect effect is temporary stinging at the utility website.

  • Oral corticosteroid, which includes prednisone, if the response is intense or a rash covers a huge area. These drugs can cause a bunch of aspect outcomes, which includes weight gain, temper swings and expanded blood strain.

  • Oral antihistamines, for relief of itching. However, these won't be very powerful for pores and skin itching.


This remedy includes exposing your pores and skin to managed quantities of artificial ultraviolet light. It's generally reserved for folks that haven't gotten higher with topical or oral steroids. It can take months for phototherapy to have an effect on a nickel hypersensitivity response.

  1. Child medical and psychological care

Preparing for your appointment

You're likely to look at your circle of relatives' health practitioners first in case you're experiencing an itchy rash that can be related to nickel hypersensitivity. Preparing for your appointment lets you make the most of some time with your physician.

What you could do

  • Write down a description of your symptoms, after they first appeared and whether or not they arise in a pattern.

  • Make a listing of any medicines you're taking, along with nutrients and nutritional dietary supplements.

  • Prepare a list of questions.

Questions that you might need to ask your physician consist of:

  • What's the most probable reason for my rash?

  • What else might cause it?

  • Is there a test which could verify a nickel hypersensitive reaction? Do I need to prepare for this check?

  • What are the remedies to be had for nickel allergic reaction, and which do you advise?

  • What aspect results can I assume from these treatments?

  • Can I use over the counter medications to treat the condition?

What to assume out of your doctor

Your health practitioner is in all likelihood to invite you some of questions:

  • When did your symptoms start?

  • Have your signs changed over time?

  • What at-domestic treatments have you ever used?

  • What effect did those treatments have?

  • What, if anything, seems to make your signs worse?

General summary

  1. Nickel allergy is a condition that affects many people all over the world. While it is not a life-threatening condition, it can cause uncomfortable symptoms such as a rash and itching. It can be caused by direct contact with nickel-containing objects such as jewelry, coins, and some electronic devices. To control nickel allergy, people should avoid contact with nickel-containing objects and wear protective clothing when handling them.

  2. Nickel allergy is a potentially serious medical condition that affects millions of Americans. Many everyday items may contain nickel, including jewelry, coins, eyeglass frames, and clothing fasteners. While it is impossible to completely avoid exposure to nickel, there are measures one can take to reduce the chance of developing an allergy or reduce the severity of an existing allergy. For example, wearing protective gloves while handling coins and other nickel-containing items may help reduce exposure and the risk of developing an allergy.

  3. Nickel allergy is a form of contact dermatitis caused by an immune reaction to certain metals. Nickel allergy can be caused by contact with objects like jewelry, coins, keys, and cell phones that contain nickel. It is important to control nickel allergy, as it can cause red, itchy, and inflamed skin. To do this, it is important to limit and avoid contact with nickel-containing items.

Nickel allergy : Causes-Symptoms-Diagnosis-Treatment

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