Back to Search
Start Over
Clinical and diagnostic challenges of metal implant allergy using the example of orthopaedic surgical implants
- Source :
- Allergo Journal International
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- Summary The focus of this review are allergic reactions to orthopaedic-surgical metal implants. The spectrum of metal implant associated potential allergic reactions encompasses eczema, impaired wound and fracture healing, infection-mimicking reactions, effusions, pain and loosening. Nickel, cobalt and chromium seem to be the predominant eliciting allergens. Despite the growing number of respective publications the topic „metal implant allergy“ remains a diagnostic challenge. Initially, differential diagnoses should always be excluded in cooperation with surgery collegues. It is recommended to perform a combined evaluation of medical history, clinical findings, patch testing and histology. The lymphocyte transformation test (LTT) can indicate metal sensitization, but it needs careful interpretation. Allergists can provide a substantial contribution to this interdisciplinary topic.
- Subjects :
- bone cement
medicine.medical_specialty
Allergy
business.industry
metal implant
Metal implant
Patch test
Review Article
Surgical implants
medicine.disease
cobalt
Dermatology
Surgery
nickel
Lymphocyte transformation
medicine
Immunology and Allergy
Medical history
chromium
Allergists
Medical diagnosis
lymphocyte transformation test
business
patch test
Subjects
Details
- ISSN :
- 21970378
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Allergo Journal International
- Accession number :
- edsair.doi.dedup.....4a00b1ef3b8ec6725d3b252abfe97933