Stomatitis or systemically-induced contact dermatitis from metal wire in orthodontic materials.
5 patients with dermatitis or stomatitis related to the use of orthodontic appliances are described. All the patients were patch tested with the European standard series. One had a ++ reaction to potassium dichromate, one a ++ reaction to nickel, and the remaining 3 no positive patch tests. 3 of the patients had recurrent vesicular hand eczema, which flared after oral challenge with 1 of the metals used in their orthodontic appliances. 2 of these 3 patients had negative patch tests. The dermatitis of 4 of the 5 patients cleared completely upon the removal of their metal orthodontic appliances or their replacement with appliances made of acrylics.
Dermatology Clinic, Aalborg, Denmark.
N K
NK
Veien
E
E
Borchorst
T
T
Hattel
G
G
Laurberg
D000293:Adolescent; D003035:Cobalt / Q000009:adverse effects; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006229:Hand Dermatoses / Q000209:etiology; D006801:Humans; D009532:Nickel / Q000009:adverse effects; D009967:Orthodontic Appliances / Q000009:adverse effects*; D010328:Patch Tests; D011192:Potassium Dichromate / Q000009:adverse effects; D013280:Stomatitis / Q000175:diagnosis / Q000209:etiology*
D003035:Cobalt; D009532:Nickel; D011192:Potassium Dichromate