Periumbilical allergic contact dermatitis: Blue jeans or belt buckles?

被引:23
作者
Byer, TT [1 ]
Morrell, DS [1 ]
机构
[1] Univ N Carolina, Dept Dermatol, Chapel Hill, NC 27599 USA
关键词
D O I
10.1111/j.0736-8046.2004.21306.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Nickel is the most ubiquitous contact allergen among children and adolescents. Metal blue jeans buttons and belts have been noted to cause nickel dermatitis around the umbilicus. For these children, traditional teaching is strict avoidance of all pants with metal snaps/buttons, particularly blue jeans. In this study we tested 90 pairs of blue jeans and 47 belts for nickel using the dimethylglyoxime spot test. Only 10% of blue jeans tested positive, while 53% of belts tested positive. Furthermore, 10 pairs of nickel-negative blue jeans remained negative after 10 washings. Overall we found no resistance to testing in clothing stores. From these results, we recommend that patients with allergic contact dermatitis secondary to nickel need not strictly avoid blue jeans and metal belt buckles. Rather, families should be encouraged to use the dimethylglyoxime spot test to test these items for nickel prior to purchase.
引用
收藏
页码:223 / 226
页数:4
相关论文
共 22 条
[1]   Nickel [J].
Barceloux, DG .
JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY, 1999, 37 (02) :239-258
[2]   The diagnostic evaluation, treatment. and prevention of allergic contact dermatitis in the new millennium [J].
Belsito, DV .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2000, 105 (03) :409-420
[3]   NICKEL DERMATITIS PROVOKED BY BUTTONS IN BLUE JEANS [J].
BRANDRUP, F ;
LARSEN, FS .
CONTACT DERMATITIS, 1979, 5 (03) :148-150
[4]   Patch test results in schoolchildren - Results from the Information Network of Departments of Dermatology (IVDK) and the German Contact Dermatitis Research Group (DKG) [J].
Brasch, J ;
Geier, J .
CONTACT DERMATITIS, 1997, 37 (06) :286-293
[5]   Does sensitization to contact allergens begin in infancy? [J].
Bruckner, AL ;
Weston, WL ;
Morelli, JG .
PEDIATRICS, 2000, 105 (01)
[6]  
FISHER AA, 1990, CUTIS, V46, P467
[7]   The genetics of allergic contact hypersensitivity to nickel [J].
Fleming, CJ ;
Burden, AD ;
Forsyth, A .
CONTACT DERMATITIS, 1999, 41 (05) :251-253
[8]   Frequency of contact allergy in children with atopic dermatitis:: results of a prospective study 137 cases [J].
Giordano-Labadie, F ;
Rancé, F ;
Pellegrin, F ;
Bazex, J ;
Dutau, G ;
Schwarze, HP .
CONTACT DERMATITIS, 1999, 40 (04) :192-195
[9]   Is it possible to improve the prognosis in nickel contact dermatitis? [J].
Kalimo, K ;
Lammintausta, K ;
Jalava, J ;
Niskanen, T .
CONTACT DERMATITIS, 1997, 37 (03) :121-124
[10]  
Kuwahara RT, 2000, PEDIATR DERMATOL, V17, P421, DOI 10.1046/j.1525-1470.2000.017005421.x