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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

Recent News

SuperUser Account
/ Categories: News

Food Allergies and Theme Parks

By Eve Chen, USA TODAY

There’s a lot more to theme park food than funnel cakes and turkey legs. Many parks pride themselves on their array of dining options for guests, but not just for flavor. More than 6% of Americans have a food allergy, according to the Centers for Disease Control and Prevention’s National Center for Health Statistics. The most common food allergens are milk, eggs, fish, crustacean shellfish, tree nuts, peanuts, wheat, soybeans and sesame, according to the U.S. Food and Drug Administration. With those, allergy-safe options can be a matter of life and death.

“I had my first reaction when I was a baby to nuts, and I’ve had serious reactions since that have brought me to the ER – thankfully not too many in recent years,” said Allie Bahn, who helps travelers with food allergies through her Miss Allergic Reactor website and Allergy Travels Facebook group. Bahn has four of the top nine food allergies and other specific allergens, like potatoes. “It can be certainly life-threatening, so it’s different than avoiding foods just because of something bothering your stomach.”

Here are seven ways travelers with food allergies can safely navigate theme parks and what parks are doing to help:

Do your research.

Some parks flag top allergens on their websites and apps.

“It’s listed by restaurant, by item, and it talks about each item what would be the allergen that could be present in that item … A lot of folks who have been living with allergies know what they can and can’t eat, and they’re just looking for a map of ‘Where can I get what I need?’ ” said Cedar Fair corporate chef Charles Walker, who helped roll out new dietary guides for guests earlier this year. As someone with food allergies himself and family members with food allergies, Walker added, “This was near and dear to my heart to really make sure this guest-facing platform was very user-friendly.”

For more personalized help, Cedar Fair’s parks and many others have phone lines and email addresses listed on their websites just for guests with special dietary needs.

“I’m a big fan of contacting places ahead of time,” Bahn said.

Don’t go hungry.

Bahn recommends eating a hearty meal before heading to the park. “So you already have something nice and warm in your stomach, hoping that you’ll be able to find something (else) when you’re there,” she said. She also recommends having plans for a meal after leaving the park, so at least those two meals are covered.

Pack snacks. Not all parks allow outside food, but when permitted, Bahn recommends packing snacks for backup. “Don’t make assumptions that you definitely can’t eat. I think there’s always the ability to try to do as much research ahead of time and then see how it goes once you get there, but having a plan in place is always really helpful,” she said.

Always carry medication or epinephrine. Bahn says she’s carried an epinephrine auto-injector with her for as long as she can remember. “Don’t lock it up in a locker where you can’t quickly access it in case of an emergency,” she said. “It should be on you at all times.”

Ask questions.

“Ask if they have ingredients that you can see,” Bahn said. Some park restaurants have binders of ingredients guests can look at, but it’s best to confirm everything is up to date with chefs, who are happy to speak with guests with food allergies. Sometimes, when creating menus, chefs will intentionally avoid using common allergens like peanuts to make foods more accessible. Chefs can also sometimes adjust dishes for allergies.

“Our festival chefs will go through (the menu) and make sure, based off of the dietary needs, if a dish is safe, if there’s anything (the guest) can have from those kiosks, or if there’s a way, we can make that dish for them safe,” said Kevin Downing, executive chef of EPCOT Festivals at Walt Disney World. Cedar Fair’s Walker echoed, “If you have a very, very specific allergy, we’ll do whatever we can to accommodate.”

Advocate for yourself.

“Explain your food allergies. Advocate for yourself,” Bahn said. She recommends carrying a Chef Card that can be given to chefs, stating each allergy, its severity, and the need for clean utensils and surfaces to be used in food preparation to avoid possible cross-contamination. “It makes everybody’s life, I think, a lot easier and really gets the point across that this is a severe food allergy and not just dietary preference,” she said.

When an allergy-related order comes into Connections Eatery kitchen at EPCOT, Chef Scott Tosh said. “It prints up special, so the special diets-trained cast member will prepare that food. We put an allergy pick in it. If there’s two items – one’s allergy, one’s not – we serve them with separate trays.” Bahn said Disney parks have always been great with her needs, even when she was a kid and people were generally less aware of food allergies.

Trust your gut.

Bahn recommends double-checking all food before digging in.

“I think I have been able to sort of save myself from some potential reactions because of advocating and double checking, trusting my gut,” Bahn said of no place in particular. “There’s plenty of times where I’ve decided not to eat, even if I’ve ordered something because I just felt like I didn’t get all my questions answered in a way that I felt was safe. And that’s OK too. Being able to politely and kindly decide not to eat and walk away and make a different plan is OK, as well. It’s your safety. It’s your health.”

https://www.usatoday.com/story/travel/experience/theme-parks/2023/12/14/food-allergies-theme-park-tips/70911517007/

The post Food Allergies and Theme Parks appeared first on Oklahoma Allergy and Asthma Clinic.

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