Category: Contact Dermatitis & Patch Testing

  • How Am I Doing?

    How Am I Doing?

  • It’s Only Skin Deep

    It’s Only Skin Deep

    https://www.reddit.com/gallery/q58hrk Severe allergy and can’t find what’s causing it. Literally have tried EVERYTHING. Have been on 5 rounds of steroids in the past 2 months. Saw an allergist and having a patch test done so have to stop steroids and that’s the only thing giving me relief. I will try anything at this point. After…

  • Do I really want that? Shared decision making and how this applies to allergy.

    As #Christmas time approaches, it’s clear that Americans want choice. When I ask patients what they would like for Christmas, “I don’t know” is usually not their answer. Children’s eyes filled with sparkles at Santa’s coming, parents’ smiling at me and thankful I haven’t ruined their stories about Santa dominate our discussions about the holidays.…

  • Ask The Allergista: Is surgical steel nickel-free?

    Originally posted on The Allergista: Q: Hi Jennifer! I’m looking for earrings (nickel free). I find I must have an allergy to nickel. Would you happen to have any suggestions? I see some people on Etsy have surgical steel posts, but I’m a bit skeptical to get from individual vs. a company that verifies allergen…

  • A Penny for your Thoughts!

    Nickel allergy can result in both cutaneous and systemic manifestations, and can range from mild to severe symptoms. A severe form of this allergy is the Systemic nickel allergy syndrome, clinically characterized by cutaneous manifestations (contact dermatitis, pompholyx, hand dermatitis dyshydrosis, urticaria) with a chronic course and systemic symptoms (headache, asthenia, itching, and gastrointestinal disorders related…

  • Wedding Ring allergy

    Think you can be allergic to your spouse? Just this week in the clinic, a middle-aged woman presents with a rash found only when she wears her wedding ring.  No other jewellery gives her problems except for the ring when worn > 2-3 days.  Although nickel allergy can cause this scenario, this woman probably has…

  • Metal implants may cause more problems!

    In allergy, I am often asked to evaluate a patient for “metal allergy”. This is from British investigators cautioning against the use of metal implants. They found metal components in the blood stream of patients with implants–this is where the sensitization comes from. Click on the link for the full article. 1

  • The Teen Who Can’t Swallow–What To Do?

    The Evaluation of a Patient With Suspected EoE Our series is on eosinophilic esophagitis (EoE) and I’ve covered how you present with this condition and a little bit about what the heck this condition really is! The website reference is http://www.medscape.com/viewarticle/754206?src=mp&spon=38 Patients with suspected EoE should be evaluated by both an allergist and a gastroenterologist. A careful history should include…

  • I have a skin rash!

    Scratching the Surface on Skin Allergies–Sooo many patients have skin allergy that results in a trip to the allergy office.  How do I know if it’s allergy or something else?  Do I need a dermatologist?  If you’re a physician, please feel free to use the patient information handout here.  If you’re a patient, I’ve included…