Nickel dermatitis from cheap earrings

Contact Dermatitis. 1989 Oct;21(4):245-8. doi: 10.1111/j.1600-0536.1989.tb03203.x.

Abstract

In 1988, 64% of our patients patch test positive to at least 1 allergen of the ICDRG standard series were nickel sensitive. In 70% of 300 patients evaluated, dermatitis started on the earlobes and was related to the regular wearing of cheap earrings. At the same time, 62% of 735 young schoolgirls were found to have dermatitis of their earlobes and all regularly wore cheap earrings. 9 clasps and clips commonly used in earrings released high quantities of nickel ions (between 49 and 103 micrograms/12 h), having been stored in synthetic sweat. A round piece cut from a clasp was taped to the skin of 30 nickel-sensitive patients, previously tested with 20 microliters of NiSO4 5%, 2.5%, 1% aq. solutions, giving a response similar to that caused by the 5% solution. High daily absorption of Ni ions through the skin follows its repetitive exposure to cheap earrings, causing, firstly, a direct inflammatory reaction, then followed, in our opinion, by sensitization.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Dermatitis, Contact / epidemiology
  • Dermatitis, Contact / etiology*
  • Ear Diseases / epidemiology
  • Ear Diseases / etiology
  • Ear, External*
  • Female
  • Humans
  • Nickel / adverse effects*
  • Solubility
  • Sweat

Substances

  • Nickel