This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

M.H. Samitz, MD; Arnold Klein, MD
University of Pennsylvania Philadelphia

JAMA. 1973;223(10):1159.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Two letters relating to this subject were published recently in THE JOURNAL.^1,2 The following comments are pertinent to this problem.

Barranco and Soloman¹ reported a case of eczematous dermatitis from internal exposure to nickel from a stainless steel screw in the patella. (Nickel sensitivity was demonstrated by patch testing: pure nickel, 3% nickel sulfate, and pieces of the stainless steel screw gave positive results; test results were negative with metallic salts such as potassium dichromate, cobalt sulfate, and mercuric chloride.) The stainless steel contained 14% nickel. Following removal of the screws, the dermatitis subsided within 72 hours. This would imply that nickel released from the stainless steel screws (a tenable thesis because Ferguson and co-workers³ and Mears⁴ have reported increased nickel concentrations in parenchymal tissues from implantation of stainless steel rods containing nickel) produced the allergic reaction. Fisher, on the other hand, rejected . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?