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Systemic contact dermatitis due to corrosion of titanium-coated nickel and cobalt bone plate fixation: A case report.

Abstract Corrosion refers to the degradation of a material that occurs following its interaction with other substances in the environment. Corrosion of metallic substances into tissues may lead to inflammatory responses such as systemic contact dermatitis (SCD), a skin condition where an individual who has previously been sensitized to a particular allergen via the cutaneous route will subsequently react to same allergen via the systemic route. This condition occurs following exposure to allergens such as metals, medications, and certain food substances. In recent years, the use of metal plates for internal fixation has become increasingly common in bone fracture repairs.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390311
OWN - NLM
STAT- In-Process
LR  - 20180202
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Systemic contact dermatitis due to corrosion of titanium-coated nickel and cobalt
      bone plate fixation: A case report.
PG  - e9120
LID - 10.1097/MD.0000000000009120 [doi]
AB  - RATIONALE: Corrosion refers to the degradation of a material that occurs
      following its interaction with other substances in the environment. Corrosion of 
      metallic substances into tissues may lead to inflammatory responses such as
      systemic contact dermatitis (SCD), a skin condition where an individual who has
      previously been sensitized to a particular allergen via the cutaneous route will 
      subsequently react to same allergen via the systemic route. This condition occurs
      following exposure to allergens such as metals, medications, and certain food
      substances. In recent years, the use of metal plates for internal fixation has
      become increasingly common in bone fracture repairs. PATIENT CONCERNS: A
      34-year-old Indonesian male presented with systemic erythema with itching 7 days 
      following a bone plate fixation as a management for mandibular fracture.
      DIAGNOSES: Physical examination showed pruritic red macules, papules, and scales 
      on almost his entire body, along with facial swelling. The patch test results
      revealed a positive reaction to nickel and cobalt. Therefore, the patient was
      diagnosed with SCD. INTERVENTIONS: The patient was treated with topical and
      systemic corticosteroids as well as bone plate removal. OUTCOME: After treatment,
      the eruption turned brown, the itching was resolved, and there were no facial
      swelling as well. LESSONS: This case report highlights the need to consider the
      occurrence of SCD in patients following bone plate fixation.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Suwarsa, Oki
AU  - Suwarsa O
AD  - Division of Allergy and Immunology, Department of Dermatology and Venereology,
      Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung,
      Indonesia.
FAU - Rahardjo, Rachel Marsella
AU  - Rahardjo RM
FAU - Sutedja, Endang
AU  - Sutedja E
FAU - Dharmadji, Hartati Purbo
AU  - Dharmadji HP
FAU - Hindritiani, Reti
AU  - Hindritiani R
FAU - Gunawan, Hendra
AU  - Gunawan H
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2018/02/03 06:00
MHDA- 2018/02/03 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/03 06:00 [medline]
AID - 10.1097/MD.0000000000009120 [doi]
AID - 00005792-201712150-00061 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9120. doi: 10.1097/MD.0000000000009120.