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Endocrine, Metabolic & Immune Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5303
ISSN (Online): 2212-3873

Research Article

Nickel Sensitivity in Rosacea Patients: A Prospective Case Control Study

Author(s): Nurşad Çifci*

Volume 19, Issue 3, 2019

Page: [367 - 372] Pages: 6

DOI: 10.2174/1871530319666190101120437

Price: $65

Abstract

Background: Rosacea is a frequently seen chronic disease. Certain allergens, some foods and beverages are known to trigger symptoms of rosacea.

Objective: We aimed to assess if nickel sensitivity is more common in rosacea patients than the normal population.

Method: Fourty patients with rosacea and 40 healthy age and sex-matched volunteers were included in the study. From European standard patch test series, test units with nickel were applied on the skin of the upper back. According to the scheme of the International Contact Dermatitis Research Group (ICDRG), test results were evaluated at 48th, 72th and 96th hours. Seven days later, reevaluation was done for late reactions. Statistical analyses were done by using Statistics package for Social Sciences (SPSS) 17 package program and p<0.05 was accepted as statistically significant.

Results: Female/male ratio was 34/6 in patient group and 32/8 in control group. Mean age of the patient group and the control group were 39.97±12.65 (18-65 years), 40.82±11.79 (19-68 years), respectively. Age and sex distributions were found to be statistically similar. Nickel allergy in the patient and control group was found to be 52.5%, 22.5% respectively and the difference between groups was statistically significant (p=0. 006).

Conclusion: Our results showed that there may be an association between nickel sensitivity and rosacea. Nickel sensitivity may be one of the underlying pathology or a triggering factor of the rosacea. Nickel restricted diet and avoiding the use of nickel-containing jewellery and piercings may extend the remission periods.

Keywords: Rosacea, nickel, patch test, diet, chronic disease, certain allergens.

Graphical Abstract

[1]
Andersen, K.E.; Burrows, D.; White, I.R. Allergens from the standard series In:Textbook of contact dermatitis; Rycroft, R.J.G.; Menné, T.; Frosch, P.J., Eds.; Springer-Verlag: Berlin, 1995, pp. 416-458.
[2]
Akyol, A.; Boyvat, A.; Peksari, Y.; Gürgey, E. Contact sensitivity to standard series allergens in 1038 patients with contact dermatitis in Turkey. Contact Dermat., 2005, 52, 333-337.
[3]
Doğramacı, A.Ç.; Gürer, M.A. Patch test results in patients with contact dermatitis: A five years retrospective study. Turk. Klin. J. Dermatol, 2008, 18, 215-222.
[4]
Ada, S.; Aşkın, Ü.; Güleç, A.T.; Seçkin, D. Patch test results of 775 patients with allergic contact dermatitis. Türkderm, 2010, 44, 187-192.
[5]
Çalka, Ö.; Karadağ, A.S.; Akdeniz, N.; Bilgili, S.G. The results of the patch testing in patient with contact dermatitis in eastern Turkey. Türkderm, 2011, 45, 19-23.
[6]
Koca, R.; Altınyazar, C.; Tekin, N.S.; Çınar, S.; Ceylan, S.; Sezer, T. Patch test results in patients with allergic contact dermatitis in the western Black Sea region: A five-year retrospective study. Türkderm, 2011, 45, 198-202.
[7]
Habashi, F. Handbook of Extractive Metallurgy; Vol. 2; Wiley-Vch: Germany, 1997.
[8]
The International Nickel Company. Romance of nickel; New York, 1960.
[9]
Liden, C. Nickel in jewelry and associated products. Contact Dermat., 1992, 26, 73-75.
[10]
Bihm, I.; Brody, M.; Bauer, R. Comparison of personal history with patch test results in metal allergy. J. Dermatol., 1997, 24, 510-513.
[11]
Veien, N.K.; Hattel, T.; Laurberg, G. Low nickel diet: An open, prospective trial. J. Am. Acad. Dermatol., 1993, 29, 1002-1007.
[12]
Flyvholm, M.A.; Nielsen, G.D.; Andersen, A. Nickel content of food and estimation of dietary intake. Lebensm. Unters. Forsch, 1984, 179, 427-431.
[13]
Veien, N.K.; Menne´, T. Nickel contact allergy and a nickel restricted diet. Semin. Dermatol., 1990, 9, 197-205.
[14]
Sharma, A.D. Relationship between nickel allergy and diet. Indian J. Dermatol. Venereol. Leprol., 2007, 73, 307-312.
[15]
Malten, K.E.; Nater, J.P.; van Ketel, W.G. Patch testing guidelines; Dekker and van de Vegt: Nijmegen, 1976.
[16]
Özkaya-Bayazıt, E.; Özarmağan, G. Patch testing. Türkder., 1997, 31, 57-66.
[17]
Chosidow, O.; Cribier, B. Epidemiology of rosacea: Updated data. Ann. Dermatol. Venereol., 2011, 138, 124-128.
[18]
Kyriakis, K.P.; Palamaras, I.; Terzoudi, S.; Emmanuelides, S.; Michailides, C.; Pagana, G. Epidemiologic aspects of rosacea. J. Am. Acad. Dermatol., 2005, 53, 918-919.
[19]
Buechner, S.A. Rosacea: An update. Dermatology, 2005, 210, 100-108.
[20]
Wilkin, J.; Dahl, M.; Detmar, M.; Drake, L.; Feinstein, A.; Odom, R.; Powel, F. Standard classification of rosacea: report of the National Rosacea Society Expert Committee on the Classification and Staging of Rosacea. J. Am. Acad. Dermatol., 2002, 45, 584-587.
[21]
Two, A.M.; Wu, W.; Gallo, R.L.; Hata, T.R. Rosacea: Part I. Introduction, categorization, histology, pathogenesis, and risk factors. J. Am. Acad. Dermatol., 2015, 72, 749-758.
[22]
Murray, A.H. Differential diagnosis of a red face. J. Cutan. Med. Surg., 1998, 2, 11-15.
[23]
Wilkin, J. The red face: Flushing disorders. Clin. Dermatol., 1993, 11, 211-223.
[24]
Zuber, T.J. Rosacea. Dermatology, 2000, 27, 309-318.
[25]
Beutner, K.R.; Lemke, S.; Calvarese, B. A look at the safety of metronidazole 1% gel: cumulative irritation, contact sensitization, phototoxicity, and photoallergy potential. Cutis, 2006, 77, 12-17.
[26]
Kirkland, C.R.; Yelverton, C.B.; Fleischer, A.B.; Camacho, F.T.; Feldman, S.R. Gel vehicles are not inherently more irritating than creams. J. Drugs Dermatol., 2006, 5, 269-272.
[27]
Sevadjan, C.M. Pustular contact hypersensitivity to fluoracil with rosacea-like sequelae. Arch. Dermatol., 1985, 121, 240-242.
[28]
Rainer, B.M.; Fischer, A.H.; Luz Felipe Da Silva, D.; Kang, S.; Chien, A.L. Rosacea is associated with chronic systemic diseases in a skin severity-dependent manner: Results of a case-control study. J. Am. Acad. Dermatol., 2015, 73, 604-608.
[29]
Egeberg, A.; Weinstock, L.B.; Thyssen, E.P.; Gislason, G.H.; Thyssen, J.P. Rosacea and gastrointestinal disorders: a population-based cohort study. Br. J. Dermatol., 2016, 176, 100-106.
[30]
Van Zuuren, E.J.; Gupta, A.K.; Gover, M.D.; Graber, M.; Hollis, S. Systematic review of rosacea treatments. J. Am. Acad. Dermatol., 2007, 56, 107-115.
[31]
Rebora, A. The management of rosacea: new and emerging therapies. Dermatol. Clin., 2000, 18, 63-71.
[32]
Weiss, E.; Katta, R. Diet and rosacea: The role of dietary change in the management of rosacea. Dermatol. Pract. Concept., 2017, 31, 31-37.
[33]
Jappe, U.; Schäfer, T.; Schnuch, A.; Uter, W. Contact allergy in patients with rosacea: a clinic-based, prospective epidemiological study. JEADV, 2008, 22, 1208-1214.
[34]
Thyssen, J.P.; Linneberg, A.; Menne, T.; Johansen, J.D. The epidemiology of contact allergy in the general population - prevalence and main findings. Contact Dermat., 2007, 57, 287-299.
[35]
Di Gioacchino, M.; Boscolo, P.; Cavallucci, E.; Verna, N.; Di Stefano, F.; Di Sciascio, M.; Masci, S.; Andreassi, M.; Sabbioni, E.; Angelucci, D.; Conti, P. Lymphocyte subset changes in blood and gastrointestinal mucosa after oral nickel challenge in nickel-sensitized women. Contact Dermat., 2000, 43, 206-211.
[36]
Aslan, N.; Sezikli, M.; Erdal, E. Nickel sensitivity in patients with gastroesophageal reflux disease. Cutan. Ocul. Toxicol., 2017, 36, 347-350.
[37]
Brasch, J.; Schnuch, A.; Uter, W. Strong allergic patch test reactions may indicate a general disposition for contact allergy. Allergy, 2006, 61, 364-369.
[38]
Webster, G.F. Rosacea and related disorders In:Dermatology; Bolognia, J.L.; Jorizzo, J.L.; Rapini, R.P., Eds.; Mosby: USA, 2003, Vol. 1, pp. 545-552.
[39]
Plewing, G.; Jansen, T. Rosacea In:Fitzpatrick’s Dermatology in General Medicine; Freedberg, I.M.; Eisen, A.Z.; Wolff, K.; Austen, K.F.; Goldsmith, L.A.; Katz, S.I., Eds.; McGraw-Hill Inc: USA, 2003, Vol. 1, pp. 688-696.
[40]
Litt, J.Z. Rosacea: How to recognize and treat an age-related skin disease. Geriatrics, 1997, 52, 39-47.
[41]
Su, Ö.; Onsun, N.; Aygın, S.; Atılganoğlu, U.; Uras, A.R. Rozasealı hastalarda gıda ve ev tozu akarı antikorlarının araştırılması. Türkderm, 2000, 34, 157-160.

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