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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

Oklahoma Allergy & Asthma Clinic Warns High Heat May Trigger Asthma Flare-Ups
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Oklahoma Allergy & Asthma Clinic Warns High Heat May Trigger Asthma Flare-Ups

Doctors urge residents to take precautions as extreme summer temperatures hit Oklahoma

With dangerous heat and humidity gripping Oklahoma and much of the Southern United States, the Oklahoma Allergy & Asthma Clinic is urging individuals with asthma and respiratory conditions to take extra precautions. According to clinic physicians, extreme heat can significantly worsen asthma symptoms and contribute to a rise in asthma related medical emergencies during the summer months.

“Oklahomans with asthma need to take summer heat seriously,” said Dr. Dean Atkinson, a board-certified allergist at the Oklahoma Allergy & Asthma Clinic. “High temperatures and humidity can combine with high pollen and high mold levels to create a perfect storm for asthma attacks.”

Excessive heat, often accompanied by high ozone levels, humidity, and stagnant air, poses multiple threats to individuals with asthma. According to the Centers for Disease Control and Prevention (CDC) and the American Lung Association, heat increases inflammation in the airways, while humidity can trap allergens like mold spores, dust mites, and pollen—making it harder to breathe and easier to trigger flare-ups.

“We see a clear uptick in asthma flare-ups during Oklahoma’s high heat index days,” added Atkinson. “Staying cool and following an asthma action plan are critical steps for staying safe.”

In Oklahoma, where summer temperatures often reach triple digits, local air quality can deteriorate rapidly. The Oklahoma region continues to experience “HIGH ALLERGY ALERT DAYS” and “Ozone Alert Days,” with elevated pollen, mold, and pollution levels that can exacerbate asthma symptoms, especially for children, seniors, and individuals with chronic lung disease.

TIPS TO HELP YOU BREATHE EASIER WHEN THE HEAT IS ON

To help residents protect their respiratory health, physicians at the Oklahoma Allergy & Asthma Clinic recommend the following five strategies during extreme heat:

1. Stay indoors in air-conditioned spaces, especially during peak heat and ozone hours (typically mid-afternoon).

2. Stay hydrated to help maintain healthy airway function.

3. Check the Daily Pollen and Mold Report and the Air Quality Index (AQI) and avoid strenuous outdoor activity on high alert days.

4. Follow your asthma action plan and keep quick-relief inhalers accessible at all times.

5. Minimize exposure to additional triggers, such as cigarette smoke, cleaning chemicals, and other pollutants.

“Children are especially vulnerable to the effects of extreme heat and poor air quality. Their lungs are still developing, and they tend to be more active outdoors, which increases their exposure to asthma triggers during high heat index days.” says Dr. Maya Gharfeh, another board-certified allergist at the Oklahoma Allergy & Asthma Clinic

The Oklahoma Allergy & Asthma Clinic encourages all asthma patients to review their action plans and speak with their healthcare providers about how to adjust medications or activity levels during extreme weather.

For more information about asthma care, pollen counts, and summer safety tips, visit www.oklahomaallergy.com or follow the clinic on social media.

About Oklahoma Allergy & Asthma Clinic

Founded in 1925, Oklahoma Allergy & Asthma clinic has a 100-year history of patient-focused, state-of-the-art allergy and asthma care. Today, the clinic is home to 13 allergy and asthma specialists, caring for tens of thousands of patients a year with a focus on evidence-based treatment, research, and patient education. To learn more, visit OklahomaAllergy.com.

The post Oklahoma Allergy & Asthma Clinic Warns High Heat May Trigger Asthma Flare-Ups appeared first on Oklahoma Allergy and Asthma Clinic.

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