Nickel Tops Skin Allergy Chart
In Journal Of American Academy Of Dermatology Study

40 percent increase in nickel allergies is blamed on body piercing rage.
Some ingest nickel in foods and from chewing pens and paper clips.

Body piercing may be a popular trend, but it has created an equally unpopular trend in allergic reactions, says David E. Cohen, MD, MPH, assistant professor of dermatology at New York University School of Medicine. According to Dr. Cohen, frequently chosen sites for piercing that have displayed allergic responses include, not only earlobes, but upper portions of the ears, lips, nose, tongue, navel, breasts and genitalia as well.

In addition to developing a reaction to nickel from body or ear piercing, foods high in nickel can also set off an allergic reaction in a small group of patients according to Dr. Cohen and other experts such as Pamela Scheinman, MD, dermatologist and allergy specialist with the New England Medical Center. Such foods include shellfish, chocolate milk and beans. "The allergy can even develop from something as simple as chewing on pens and paper clips while at work," notes Dr. Scheinman.

Over the past five years there has been a 40 percent increase in the number people who test positive to nickel, with 14.5 percent now allergic to a metal that appears in just about everything we touch - drawer pulls, eyeglass frames, paper clips and, of course, earrings and other jewelry items. Dr. Cohen notes that among all chemical allergens capable of producing an allergic skin disease, nickel is the most common in North America. Cobalt and chromium can also produce allergic reactions, but to a lesser degree than nickel.

Dr. Cohen stresses, "Ten to fifteen percent of those who develop a nickel allergy do so when their body is pierced with an instrument containing nickel. The immune system reacts in the same way as it would if an artificial joint were implanted and, once a nickel allergy develops, it lasts for a lifetime."

Says Dr. Cohen, "Surgical-grade stainless steel and titanium are safer materials, even for those allergic to nickel," adding, "When piercing any part of the body, use only safe and sterile equipment. At the first sign of infection, or allergic reaction, consult your dermatologist." Dr. Cohen is a Fellow of the American Academy of Dermatology, a member of the American Contact Dermatitis Society, and director of occupational and environmental dermatology at NYU Medical Center. He spoke recently at an AAD public education program in New York to mark November as National Healthy Skin Month.

Supporters of AAD education programs such as National Healthy Skin Month include Roman Research, manufacturer of Simply Whispers and other nickel-safe jewelry products and watches. In addition to its participation with the AAD, Roman Research is promulgating new jewelry labeling standards to better inform consumers about body piercing and nickel risks. "Experts agree the term 'hypoallergenic' is confusing. We need to create labeling consumers can trust," says Dale Southworth, president of Roman Research in Hanson, Massachusetts. Southworth is assembling a team of medical and communication experts to develop effective labeling standards for nickel-safe jewelry and other products.

A leading guide used by dermatologists, Fisher's Contact Dermatitis by Drs. Alexander A. Fisher, Joseph F. Fowler and Robert L. Rietschel, cites Roman Research as a reliable source of nickel-safe jewelry. In 1970, the company invented the first one-step ear piercing system to eliminate the danger of developing a nickel allergy by using a surgical stainless steel stud to puncture the lobe. In addition, the sterilized stud is used only once and remains in place until the puncture heals, thus eliminating transfer of pathogens from one individual to another. Today, the company manufactures nickel-safe fine and fashion jewelry exclusively. Products are manufactured from surgical stainless steel with 24 kt. gold electroplating or of nickel-free alloys with 24 kt. gold or palladium electroplating.

The American Academy of Dermatology is the largest medical society representing physicians who specialize in treating conditions of the skin, hair and nails.