Nickel hypersensitivity associated with an intratubal microinsert system.
BACKGROUND
Although known nickel hypersensitivity is a contraindication to intratubal microinsert placement in the United States, this case demonstrates that nickel hypersensitivity to intratubal microinserts can occur.


METHODS
A young woman developed an allergic reaction after placement of intratubal microinserts. Nickel hypersensitivity was confirmed with skin patch testing. The microinserts were removed hysteroscopically, and the patient improved.


CONCLUSIONS
If a patient experiences symptoms of an allergic reaction after hysteroscopic sterilization, referral to an allergy specialist is recommended. If nickel hypersensitivity is confirmed, the microinserts should be removed; this may be performed under hysteroscopic guidance.
From the Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan; and the Detroit Medical Center, Detroit, Michigan.
Zain
Z
Al-Safi
Valerie I
VI
Shavell
Lon E
LE
Katz
Jay M
JM
Berman
D000328:Adult; D003877:Dermatitis, Contact / Q000175:diagnosis* / Q000209:etiology*; D020878:Device Removal; D005260:Female; D006801:Humans; D009532:Nickel / Q000009:adverse effects*; D010328:Patch Tests; D013246:Sterilization, Tubal / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome
D009532:Nickel
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