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Nickel allergy is ordinarily escort as a eccentric of allergic contact dermatitis . It occur in response to the exposure of the human body to the nickel element . Nickel is found ordinarily in the form of ornaments worn by cleaning woman like earrings , nozzle pin , ringing , anklet , Ni - coat accessories , zippers , button , etc .
Nickel allergy presents as an allergic response which could be caused due to a wide variety of diseases , so it is very hard to diagnose on its first presentation . The hypersensitized symptom produce suspicion for it and are commonly detected by the physician clinically . Since the allergiccontact dermatitisis most normally seen with the atomic number 28 allergic reaction , so it makes it as the primary culprit responsible for the pelt inflammation.(1 )
How To Diagnose Nickel Allergy?
For the diagnosis of Ni allergic reaction , it is important to elicit the same reaction in the patient with the nickel picture and it would also affirm the diagnosis . It is done by a trial run known as a patch test . In this test , the person is scupper to a telephone number of rough-cut antigenic heart creditworthy for allergic middleman dermatitis in very minute quantities in the pits of a membrane that is stuck to the skin . The web site of attachment of the page is normally at the back which prevents interference with the daily routine . It is stop at specific intervals for the reaction of the allergic reaction and its sign . The usual day for medical are daylight two , day four and Clarence Day seven of the attachment . Day 4 is the best version for the tryout and the Ni allergic reaction is also observe on this reading if present . For the weak positive response , a repeat open patch examination can be done because sometimes the response is aggravated by the picture to air and therefore can present as good hypersensitive response sufficient enough for the diagnosis .
What Is The Best Medicine For Nickel Allergy?
Sometimes the history of nickel exposure is present but it is not known that the quantity is either sufficient to do an allergic reaction or not . In such cases , a mental test have sex as the dimethylglyoxime test could be performed for the diagnosing . The unspoilt treatment for nickel allergy remains its prevention . Once an sensitized reaction is seen in the patient , then it is suggested to not wear the nickel - coat products . Symptomatic treatment with topical soaks of normal saline solution or atomic number 13 acetate solution can be given . half-hearted oatmeal bath are also helpful in relieve the symptoms in cases of widespread vesicular eruption . Emollients , assuasive and antiseptic creams are prescribe to keep the surface moist and microorganism free to forestall superadded infection.(1 )
Topical antihistaminic drug are offer in localize symptom whereas oral antihistaminic drug are preferred in generalized or restrained allergic contact dermatitis . In stark cases of refractory contact dermatitis with atomic number 28 allergic reaction , glucocorticoids and steroids are the drug of choice because they can slim the allergic response and inflammation very efficiently . Sometimes if the blisters become sufficiently large , remedial drain could be consider without remotion of the blister membrane to keep rude surface formation .
Conclusion
Diagnosis of the nickel allergy is difficult because it has a demonstration resembling a stack of disorders . The peculiar account given by the affected role about the special seem for the Nickel ornamentation could elevate suspicion towards the upset . The diagnosis is based on a simple mechanism of fire an immune response in exposure to the suspected antigen . It is done by comparing various antigen at the same time in a membrane , the test is known as a patch trial .
The mainstay of the handling is symptomatic . Petroleum jellies are used as cream in dermatitis . Topical saline solution software is sometimes done to relieve the itching and redness . unwritten antihistaminic drug can be given in cases that do not get corrected by topical practical software . Glucocorticoid is the drug of choice for severe case . Despite all of the treatment , prevention is the best cure .
References
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