title: Low-nickel diet scoring system for systemic nickel allergy.
abstract: BACKGROUND
  Consumption of nickel in the diet leads to spongiotic dermatitis in a dose-related fashion in individuals who are allergic to nickel. Dietary modification to reduce nickel intake leads to resolution of this dermatitis.
  
  
  OBJECTIVE
  This study aims to create an evidence-based, user-friendly diet to assist patients in reducing dietary nickel intake.
  
  
  METHODS
  Food and Drug Administration data on the nickel content of foods were combined with serving size information to calculate the upper limit of nickel per serving for a variety of foods. Based on these calculations, a point system was created that allows patients to reduce their nickel intake below the typical threshold for elicitation of the spongiotic dermatitis.
  
  
  CONCLUSIONS
  A simplified point-based diet can help patients with dermatitis due to dietary nickel consumption.
authors.affiliation: College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
authors.forename: Mona
authors.initials: M
authors.lastname: Mislankar
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Zirwas
mesh_terms: D000284:Administration, Oral; D003872:Dermatitis / Q000175:diagnosis / Q000178:diet therapy* / Q000209:etiology*; D004032:Diet / Q000009:adverse effects*; D004305:Dose-Response Relationship, Drug; D006801:Humans; D009532:Nickel / Q000008:administration & dosage* / Q000009:adverse effects*; D010328:Patch Tests
chemical_list: D009532:Nickel