JOURNAL ARTICLE

An interesting case of joint prosthesis allergy

Jennifer Beecker, John Gordon, Melanie Pratt
Dermatitis 2009, 20 (2): E4-9
19426611
A rare case of contact allergic dermatitis from metal knee joint prostheses is presented. The low incidence of allergic contact dermatitis from metal prostheses is surprising, especially given the frequency of metal allergy, particularly to nickel and cobalt, in the general population. Even patients with known metal allergy often do not react to their metal prosthesis. Systemic allergic contact dermatitis is particularly uncommon with knee joint replacements where the articulation is metal on plastic rather than metal on metal as the former has decreased metal wear debris. In this particular case, there was prior documentation of allergy to both nickel and cobalt, limiting the metal prosthesis options. We used a novel technique using subcutaneous metal implants to determine if this highly metal-sensitive patient would have a postoperative allergic contact reaction to her metal knee joint prosthesis, which contained cobalt and small amounts of nickel.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
19426611
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"