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Metal Allergy in Asia

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Metal Allergy

Abstract

Similar to most patch test centres worldwide, metal allergens are among the most common contact allergens seen in Asian centres. Nickel is consistently ranked within the top three allergens in Asia. Chromium and cobalt are also commonly seen among the top five in many Asian centres. Some previously common patterns of metal allergy, such as gold dermatitis caused by ear piercing and baboon syndrome caused by mercury from broken thermometers, have been less commonly reported in recent years. We also highlight some patterns of metal allergy peculiar to Asia such as scarf brooch dermatitis, airborne dermatitis from pewter dust, desert dust allergy and nickel allergy from underground water.

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References

  1. Boonchai W, Iamtharachai P. Risk factors for common contact allergens and patch test results using a modified European baseline series in patients tested during between 2000 and 2009 at Siriraj hospital. Asian Pac J Allergy Immunol. 2014;32:60–5.

    PubMed  Google Scholar 

  2. Boonchai W, Iamtharachai P, Sunthonpalin P. Prevalence of allergic contact dermatitis in Thailand. Dermatitis. 2008;19:142–5.

    CAS  PubMed  Google Scholar 

  3. Rohna R. Pattern of contact and photocontact dermatitis at Hospital Kuala Lumpur – a two year study (1994–1996). In: Paper presented at Update Contact Allergy Occup Dermatoses, Kuala Lumpur, 6 Apr 1996.

    Google Scholar 

  4. Goh CL. Epidemiology of contact allergy in Singapore. Int J Dermatol. 1988;27:308–11.

    Article  CAS  PubMed  Google Scholar 

  5. Lim JT, Goh CL, Ng SK, Wong WK. Changing trends in the epidemiology of contact dermatitis in Singapore. Contact Dermatitis. 1992;26:321–6.

    Article  CAS  PubMed  Google Scholar 

  6. Tee SI, Goon A, Leow YH. Patch test results to the National Skin Centre Standard Series from 2004 to 2008. In: Proceedings of dermatology update conference 2010, Singapore.

    Google Scholar 

  7. Ochi H, Cheng S, Leow YH, Goon A. Contact allergy trends in Singapore – a retrospective study of patch test data from 2009 to 2013. Contact Dermatitis. 2017;76:49–50.

    Article  Google Scholar 

  8. Lam WS, Chan LY, Ho SC, Chong LY, So WH, Wong TW. A retrospective study of 2585 patients patch tested with the European standard series in Hong Kong (1995–1999). Int J Dermatol. 2008;47:128–33.

    Article  PubMed  Google Scholar 

  9. Lee TY, Lam TH. Patch testing of 490 patients in Hong Kong. Contact Dermatitis. 1996;35:23–6.

    Article  CAS  PubMed  Google Scholar 

  10. Lee TY, Lam TH. Patch testing in Hong Kong. Contact Dermatitis. 1989;21:148–53.

    Article  CAS  PubMed  Google Scholar 

  11. Wang XM, Lin YF, Cheng XF, Zhang YP, Ye ML. Patch testing with the European standard series in Shanghai. Contact Dermatitis. 1994;30:173–4.

    Article  CAS  PubMed  Google Scholar 

  12. Li LF, Guo J, Wang J. Environmental contact factors in eczema and the results of patch testing Chinese patients with a modified European standard series of allergens. Contact Dermatitis. 2004;51:22–5.

    Article  PubMed  Google Scholar 

  13. Zhang XM, Niklasson B, Li SY. Patch testing in cases of eczema and dermatitis in Beijing, China. Contact Dermatitis. 1991;25:224–9.

    Article  CAS  PubMed  Google Scholar 

  14. Akasya-Hillenbrand E, Ozkaya-Bayazit E. Patch test results in 542 patients with suspected contact dermatitis in Turkey. Contact Dermatitis. 2002;46:17–23.

    Article  PubMed  Google Scholar 

  15. el-Rab MO, al-Sheikh OA. Is the European standard series suitable for patch testing in Riyadh, Saudi Arabia? Contact Dermatitis. 1995;33:310–4.

    Article  CAS  PubMed  Google Scholar 

  16. Sharma VK, Sethuraman G, Garg T, Verma KK, Ramam M. Patch testing with the Indian standard series in New Delhi. Contact Dermatitis. 2004;51:319–21.

    Article  PubMed  Google Scholar 

  17. Sharma VK, Chakrabarti A. Common contact sensitizers in Chandigarh, India. A study of 200 patients with the European standard series. Contact Dermatitis. 1998;38:127–31.

    Article  CAS  PubMed  Google Scholar 

  18. Shenoi DS, Srinivas CR, Balachandran C. Results of patch testing with a standard series of allergens at Manipal. Indian J Dermatol Venereol Leprol. 1994;60:133–5.

    Google Scholar 

  19. Kim DS, Bae JM, Jee H, Lee H, Kim DY, Kim SM, Lee MG. Analysis of contact allergens in korean polysensitized patients by patch testing: a pilot study. Acta Derm Venereol. 2014;94:80–1.

    Article  PubMed  Google Scholar 

  20. Goon AT, Goh CL. Metal allergy in Singapore. Contact Dermatitis. 2005;52:130–2.

    Article  CAS  PubMed  Google Scholar 

  21. Cheng TY, Tseng YH, Sun CC, Chu CY. Contact sensitization to metals in Taiwan. Contact Dermatitis. 2008;59:353–60.

    Article  CAS  PubMed  Google Scholar 

  22. Nonaka H, Nakada T, Iijima M, Maibach HI. Metal patch test results from 1990 to 2009. J Dermatol. 2011;38:267–71.

    Article  PubMed  Google Scholar 

  23. Lee JY, Yoo JM, Cho BK, Kim HO. Contact dermatitis in Korean dental technicians. Contact Dermatitis. 2001;45:13–6.

    Article  CAS  PubMed  Google Scholar 

  24. Nakada T, Iijima M, Nakayama H, Maibach HI. Rôle of ear piercing in metal allergic contact dermatitis. Contact Dermatitis. 1997;36:233–6.

    Article  CAS  PubMed  Google Scholar 

  25. Nonaka H, Nakada T, Iijima M. Gold allergy in Japan. Contact Dermatitis. 2003;48:112–4.

    Article  PubMed  Google Scholar 

  26. Nakayama H, Niki F, Shono M, Hada S. Mercury exanthem. Contact Dermatitis. 1983;9:411–7.

    Article  CAS  PubMed  Google Scholar 

  27. Nakada T, Higo N, Iijima M, Nakayama H, Maibach HI. Patch test materials for mercury allergic contact dermatitis. Contact Dermatitis. 1997;36:237–9.

    Article  CAS  PubMed  Google Scholar 

  28. Onishi K, Kurosaki Y, Otani S, Yoshida A, Sugimoto N, Kurozawa Y. Atmospheric transport route determines components of Asian dust and health effects in Japan. Atmos Environ. 2012;49:94–102.

    Article  CAS  Google Scholar 

  29. Otani S, Onishi K, Mu H, Yokoyama Y, Hosoda T, Okamoto M, Kurozawa Y. The relationship between skin symptoms and allergic reactions to dust. Int J Environ Res Public Health. 2012;9:4606–14.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Gan AT, Wong LH, Ganesapillai T. Pattern of contact dermatitis at Department of Dermatology, General Hospital Kuala Lumpur in 1989. In: Paper presented at the 1st Asia-Pacific Environmental and Occupational Dermatology Symposium, National Skin Centre, Singapore, 22–24 Jun 1991.

    Google Scholar 

  31. Rohna R, Anesapillai T, Salbiah D, Zaiton I. Pattern of occupational allergic dermatitis in the dermatology clinic, Hospital Kuala Lumpur. Med J Malaysia. 1999;54:128–31.

    CAS  PubMed  Google Scholar 

  32. Ido T, Kumakiri M, Kiyohara T, Sawai T, Hasegawa Y. Oral lichen planus due to zinc in dental restorations. Contact Dermatitis. 2002;47:51.

    Article  PubMed  Google Scholar 

  33. Yanagi T, Shimizu T, Abe R, Shimizu H. Zinc dental fillings and palmoplantar pustulosis. Lancet. 2005;366:1050.

    Article  PubMed  Google Scholar 

  34. Shimizu T, Kobayashi S, Tanaka M. Systemic contact dermatitis to zinc in dental fillings. Clin Exp Dermatol. 2003;28:675–6.

    Article  CAS  PubMed  Google Scholar 

  35. Yanagi T, Kodama K, Yoshihisa Y, Shimizu H, Shimizu T. Macrophage migration inhibitory factor in zinc allergic systemic contact dermatitis. Cytokine. 2006;35:270–4.

    Article  CAS  PubMed  Google Scholar 

  36. Asano Y, Makino T, Norisugi O, Shimizu T. Occupational cobalt induced systemic contact dermatitis. Eur J Dermatol. 2009;19:166–8.

    PubMed  Google Scholar 

  37. Saito T, Hokimoto S, Oshima S, Noda K, Kojyo Y, Matsunaga K. Metal allergic reaction in chronic refractory in-stent restenosis. Cardiovasc Revasc Med. 2009;10:17–22.

    Article  PubMed  Google Scholar 

  38. Gao X, He RX, Yan SG, Wu LD. Dermatitis associated with chromium following total knee Arthroplasty. J Arthroplasty. 2011;26:665.

    Article  PubMed  Google Scholar 

  39. Ozkaya E, Topkarci Z, Ozarmagan G. Systemic allergic dermatitis from chromium in a multivitamin/multimineral tablet. Contact Dermatitis. 2010;62:184.

    Article  PubMed  Google Scholar 

  40. Lee AY, Lee YS. A case of allergic contact dermatitis due to nickel in underground water. Contact Dermatitis. 1990;22:141–3.

    Article  CAS  PubMed  Google Scholar 

  41. ESSCA writing group. The European baseline series in 10 European countries, 2005/2006 – results of the European surveillance system of contact allergies (ESSCA). Contact Dermatitis. 2009;61:31–8.

    Article  Google Scholar 

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Goon, A. (2018). Metal Allergy in Asia. In: Chen, J., Thyssen, J. (eds) Metal Allergy. Springer, Cham. https://doi.org/10.1007/978-3-319-58503-1_39

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  • DOI: https://doi.org/10.1007/978-3-319-58503-1_39

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