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Nickel Allergy

Nickel allergy is a very common form of Allergic Contact Dermatitis (ACD). A rash develops after contact with nickel and may have the following characteristic(s): redness, itching, swelling, hives and/or cracks.

Nickel Allergy

Piercing is a major cause of nickel allergy. When the skin is injured, prolonged contact with nickel causes an allergic reaction. Nickel salts from the jewelry penetrate the skin and cause sensitization. Once an individual is sensitized to nickel, symptoms will appear after contact with nickel.

Nickel allergy is considered a delayed Type IV allergy meaning an allergic reaction may occur up to 48 hours after nickel contact.

Allergy relief

For immediate relief, your doctor may recommend a steroid cream to help reduce inflammation and redness. Nickel allergy rashes usually clear once contact with nickel is stopped. It is important to identify the source of nickel and avoid it.

How to avoid nickel

The key to avoiding nickel is to identify it before your skin does.

All metal items suspected of containing nickel may be tested with a dimethyl glyoxime test called Nickel Alert. Nickel alert quickly, safely, and easily tests jewelry and other metal items for the presence of nickel.

Where nickel is found

Nickel is frequently found in metal and metal objects including gold because it is inexpensive, durable, and lustrous.

Often when it is difficult to identify the nickel source because a rash might not appear for two days. It is critical to test all metal items since there are often multiple sources of exposure.

Commons items that may contain nickel:

  • Earrings
  • Necklaces
  • Rings
  • Bracelets
  • Costume and heirloom jewelry
  • Buttons and snaps
  • Belt buckles
  • Zippers
  • Fasteners
  • Hand tools and scissors
  • Keys and coins
  • Eyeglass frames
  • Watches and bands
  • Gold-white and yellow, especially 10 and 14 ct
  • Brass or chrome fixtures
  • Kitchen utensils—silverware
  • Bra hooks
  • Suspender clips
  • Hair pins
  • Handbags / clutches
  • Cigarette lighters
  • Jean studs
  • Razors
  • Pocket knives
  • Pens
  • Lipstick holders
  • Powder compacts
  • "Hypoallergenic and "Nickel-free" jewelry

Nickel allergy Facts

  • The most common sites for nickel allergy are earlobes, neck, and wrist where metal touches the skin. In children, one of the most common signs of nickel allergy is a rash on the central abdomen from snaps/buttons.
  • Nickel allergy can develop at any age and often last a lifetime.
  • Nickel allergy is the second most common form of allergic contact dermatitis after poison ivy, oak and sumac.
  • 15% of the women in the U.S. are nickel allergic.
  • There is no cure for nickel allergy.

Nickel-free and hypoallergenic jewelry

There are no government standards or regulations for using the terms "nickel-free" or "hypoallergenic".

Jewelry labeled "nickel-free" or "hypoallergenic" often refers only to the plating. The base metal may contain nickel. Once the plating wears thin, even microscopically, nickel salts will come in contact with your skin and symptoms can occur.

Expensive jewelry may contain nickel in the base metal.

Test your jewelry regularly, even the "safe" items, using the dimethyl glyoxime test – Nickel Alert.

Metals that often contain nickel

  • Gold-white and yellow
  • Silver, sterling silver, silver plate
  • Palladium
  • Chrome (or Chromate)
  • Cobalt

Suitable replacements for nickel

  • Aluminum
  • Titanium
  • Platinum
  • Plastic
  • Wood

When avoidance of nickel is not possible

Avoiding nickel is ideal, but not always possible. When avoidance of nickel is not possible, coat the metal that contacts your skin (jean studs, eyeglass frames, etc.) with a clear coating. Avoid generic nail polishes; they often contain toluene, formaldehyde and dibutyl phthalate which can lead to further sensitization for nickel allergic individuals. Use Nickel Guard as a safe alternative. Also, if possible, wear protective clothing (gloves, long sleeves, etc.) for larger areas.

Additional considerations

  • Weather: In summer, perspiration aids the transfer of nickel salts to the skin, increasing symptoms.
  • Diet: Severely allergic individuals may choose to avoid foods which are rich in nickel. Dietary intake of some foods has been shown to aggravate dermatitis, especially hand dermatitis. Your doctor may instruct you to avoid some foods which typically contain higher amounts of nickel, including asparagus, chocolate, peanuts, beans, peas, rhubarb, cabbage, oysters, spinach, herring, tea, mushrooms, whole meal flour, pears, sprouts, corn, raisins, onions, tomatoes, and baking powder.
  • Medical: Tell your physician that your are nickel allergic. Verify all dental appliances and surgical implants are nickel-free prior to implantation.
  • Work: For specific occupational sources of nickel, visit www.athenaallergy.com

Easily avoid nickel with Nickel Solution featuring Nickel Alert and Nickel guard.

You may order Nickel solution via:
Web: www.nickelsolution.com
Phone: (704) 947-1917
FAX: (857) 588-8765
Mail: PO Box 1294
Huntersville, NC 28070

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Do you have the winter sniffles?

5 ways you can manage indoor winter allergies

Do you suffer from itchy eyes, a runny nose or a scratchy throat during winter? Do you often find yourself coughing, sneezing and having trouble breathing? Chances are you may have indoor allergies.

Allergens are not just found outside in trees or grass. The indoors can host many triggers like mold in pipes, pet allergens, and dust mite and cockroach allergens.

Indoor allergies are a year-round problem, but you’ll notice them more during the winter because you spend more time at home. Also, because of the colder weather, you’re likely keeping doors and windows shut to keep the cold out. By doing that, you’re also sealing allergens indoors with you, and your heating system will recirculate the indoor air and any allergy triggers.

You don’t have to accept indoor allergies as an inevitable fact of the winter season. Using these five tips from the American College of Allergy, Asthma and Immunology (ACAAI), you can be proactive and manage your winter allergies.

1. Clean regularly
It may seem like a simple solution, but cleaning house is one of the easiest ways to deal with indoor winter allergies. Dust, mold, pet dander and dust mite and cockroach droppings can hide anywhere and cause sneezing, coughing and congestion.

To limit your exposure to these indoor allergens, keep a regular cleaning schedule. Dust and vacuum frequently, especially under and behind furniture, where allergens can easily build up. Wipe down counters and other surfaces that you use often. During the holidays, wipe off holiday decorations, especially if you’ve stored them in areas where dust and mold proliferate.

2. Reduce pet allergy triggers
It can be difficult to balance your love for your pets and indoor allergy management. Just like you, your pets are spending more time indoors, increasing your exposure to pet dander and saliva.

While you may enjoy snuggling with your pets before bed, keeping them out of the bedroom will help with any allergies you experience at night that can disrupt your sleep. During the day, keep the door to your bedroom closed, so your furry family members aren’t tempted to go in.

When petting your cat or dog, make sure to wash your hands afterward, so you don’t accidentally touch your face and provoke an allergic reaction. Finally, remember to groom your pets regularly to reduce indoor air allergens.

3. Protect your bedding from dust mites
According to the ACAAI, dust mites live and multiply in warm, humid places and are often found in pillows, mattresses, carpeting and upholstered furniture. Even if your home is visibly clean, dust mite allergen particles are too small to be seen.

Use mite-proof zippered cases for your mattress and pillows to limit your exposure to dust mites. Every week, wash and change your sheets, blankets and other bedding in hot water to eliminate any lingering dust mite droppings.

4. Find and prevent indoor mold
Did you know that there are roughly 1,000 species of mold in the U.S.? Many molds aren’t visible to the naked eye, and mold spores can cause allergic reactions when they become airborne. Because mold can grow in your basement, bathroom, under the sink and anywhere with running water, avoiding mold allergens can be difficult.

If you suspect you have indoor mold, it’s best to contact a professional who can find and clean up existing mold in your home. To prevent mold from growing inside your home, quickly stop and clean up any leaks. Also, make sure to reduce moisture and humidity in bathrooms and kitchens. If humidity control is a problem, consider a dehumidifier.

5. Find an allergist
Consulting an allergist is the best way to identify and treat your winter indoor allergies.

“Allergists are the best trained medical professionals to treat allergies and asthma,” said Kathleen May, MD, ACAAI president. “They can help you get tested, get treated and get better so you can enjoy the holiday season and beyond.”

After a consultation, your allergist may perform tests to diagnose your allergies and identify potential causes. An allergist can also prescribe antihistamines and other allergy treatments to give you relief from your allergic symptoms.

Using these five tips, you can better manage your indoor allergies this winter so you can enjoy the cozy colder months without suffering from allergies. 

About ACAAI
ACAAI is a professional medical organization of more than 6,000 allergists-immunologists and allied health professionals, headquartered in Arlington Heights, Ill. The College fosters a culture of collaboration and congeniality in which its members work together and with others toward the common goals of patient care, education, advocacy, and research. ACAAI allergists are board-certified physicians trained to diagnose allergies and asthma, administer, and provide patients with the best treatment outcomes. For more information and to find relief, talk to your OAAC provider.

The post Do you have the winter sniffles? appeared first on Oklahoma Allergy and Asthma Clinic.

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