title: Allergic contact dermatitis as a complication of lid loading with gold implants.
abstract: Paralysis of the orbicularis oculi muscle in patients with a facial nerve injury causes functional and cosmetic disabilities including inability to close the eyelid. This complication is often treated by implanting a gold weight in the upper eyelid, which, however, is not without side effects. Four patients are described who, after lid loading with a gold implant, acquired an inflammatory reaction due to contact allergy to the metal inserted. The allergy was demonstrated by patch testing with gold sodium thiosulfate. The implant was removed and the dermatitis resolved. Contact allergy to gold occurs frequently and may explain many cases of complications to lid loading with the metal.
authors.affiliation: Department of Occupational and Environmental Dermatology, Malmö University Hospital, Lund University, Malmö, Sweden.
authors.forename: Bert
authors.initials: B
authors.lastname: Björkner
authors.forename: Magnus
authors.initials: M
authors.lastname: Bruze
authors.forename: Halvor
authors.initials: H
authors.lastname: Möller
authors.forename: Lars
authors.initials: L
authors.lastname: Salemark
mesh_terms: D000368:Aged; D001767:Blinking; D017449:Dermatitis, Allergic Contact / Q000209:etiology* / Q000473:pathology; D005141:Eyelid Diseases / Q000209:etiology* / Q000473:pathology; D005143:Eyelids / Q000473:pathology / Q000601:surgery; D005158:Facial Paralysis / Q000601:surgery; D005260:Female; D006046:Gold / Q000009:adverse effects*; D012971:Gold Sodium Thiosulfate; D006801:Humans; D008875:Middle Aged; D010328:Patch Tests; D019736:Prostheses and Implants / Q000009:adverse effects*; D012867:Skin / Q000473:pathology
chemical_list: D006046:Gold; D012971:Gold Sodium Thiosulfate