INCIDENCE OF METAL ALLERGIES IN ORTHOPAEDIC SURGERY PATIENTS WHO SELF-REPORT ALLERGY HISTORY

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

Related Articles

SEROPREVALENCE OF SCRUB TYPHUS IN PATIENTS WITH ACUTE FEBRILE ILLNESS AT A TERTIARY HEALTH CARE INSTITUTION IN JAIPUR, RAJASTHAN

Objectives;Scrub typhus is an important cause of acute febrile illness and need to be differentiated from other causes of febrile illness such as malaria, enteric fever, dengue etc. The present study reports a recent epi...

UTILITY OF Ki67 IN PRE-MALIGNANT AND MALIGNANT SKIN LESIONS

Objective: The purpose of the study is to evaluate the significance of ki67 antigen expression in premalignant and malignant skin lesions. Materials and methods: This was a retrospective study that included 12 premaligna...

CLEAR CELL SCC: UNCOMMON VARIANT OF COMMON MALIGNANCY IN HEAD AND NECK

Clear cell squamous cell carcinoma (SCC) is an extremely rare and incompletely understood entity. Clear cells change occurs due to cytoplasmic accumulation of glycogen, water, intermediate filaments, immature zymogen gra...

A HISTOPATHOLOGICAL SPECTRUM OF OVARIAN LESIONS : AS STUDIED IN RIMS, A TERTIARY CARE HOSPITAL IN JHARKHAND

AIM: The aim of this study is to highlight the histopathological spectrum of ovarian both benign and malignant and to compare our study with findings of other centers. MATERIALS AND METHODS: Hematoxylin and eosin stained...

ROLE OF IMMUNOHISTOCHEMISTRY IN THE DIAGNOSIS OF PAPILLARY CARCINOMA THYROID

Papillary thyroid carcinoma is the most common thyroid neoplasm. Histopathological diagnosis is the gold standard and the diagnosis is based on the characteristic nuclear features. Focal presence of nuclear features in c...

Download PDF file
  • EP ID EP656386
  • DOI -
  • Views 77
  • Downloads 0

How To Cite

Mark Schultzel, Christopher M. Klein, John M. Itamura (2017). INCIDENCE OF METAL ALLERGIES IN ORTHOPAEDIC SURGERY PATIENTS WHO SELF-REPORT ALLERGY HISTORY. INTERNATIONAL JOURNAL OF RESEARCH IN PATHOLOGY AND MICROBIOLOGY, 1(4), -. https://europub.co.uk/articles/-A-656386