More patients who need medical implants are voicing concern over metal allergies, according to a press release from the AAD. Dermatologists at the 2023 AAD Annual Meeting explained that patients who have contact dermatitis may be susceptible to an allergic reaction caused by certain metals, especially nickel, when receiving implants such as joint replacements; neurologic, cardiac, and dental devices; rods; pins; screws; and plates. They noted that patients may consequently experience rashes, blisters, severe itchiness, dryness, pain, or hives—and that those who know they have a metal allergy should notify their dermatologist, surgeon, or any other physician involved in the implant procedure. Dermatologists and surgeons who are aware of the allergy can then collaborate to determine whether the patient may need a ceramic implant instead of a metal implant or anti-inflammatory medications to relieve symptoms if an allergic reaction occurs after the procedure. In most cases, patients will stop reacting to the metal implant over time; however, those who continue to react should consult a dermatologist, who may consider implant removal and substitution.
May 24, 2023