INCIDENCE OF METAL ALLERGIES IN ORTHOPAEDIC SURGERY PATIENTS WHO SELF-REPORT ALLERGY HISTORY
Journal Title: INTERNATIONAL JOURNAL OF RESEARCH IN PATHOLOGY AND MICROBIOLOGY - Year 2017, Vol 1, Issue 4
Abstract
Background: Metal allergy is reported in 10%-17% of the general population. There is inconclusive evidence on the role of metal allergy in painful/aseptic arthroplasty loosening. Objective: To determine the incidence of metal allergy in orthopaedic patients who self-report and characterize which metals cause allergy. Methods: This is a retrospective chart review. All patients were questioned about metal allergy history; all positive cases were patch tested for specific metals. Results: 41 of 840 patients self-reported allergy. 34 tested positive. 32 (78.05%) reported inability to wear metal accessories. 30 (73.17% of tested, 93.75% of reporting) demonstrated allergy. 27 tested positive for nickel allergy, 4 to cobalt, 4 to gold thiosulfate, one to tin, one to titanium, and 7 to multiple metals. 6 had metal orthopaedic implants prior to testing. Conclusion: Metal allergy can be concerning for surgeons. Greater awareness of sensitivity may prevent patient exposure to implants that may cause allergic reactions.
Authors and Affiliations
Mark Schultzel, Christopher M. Klein, John M. Itamura
Keywords
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