Lymphomatoid contact dermatitis induced by gold earrings

Metallic gold has long been regarded as a relatively safe material when in contact with the skin and mucosal membranes, with only sporadic reports of allergic contact dermatitis or stomatitis. This is probably due to its stability and low tendency to ionization. Lymphomatoid reactions have been desc...

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Bibliographic Details
Published in:Contact dermatitis 2007-03, Vol.56 (3), p.179-181
Main Authors: Conde-Taboada, Alberto, Rosón, Elena, Fernández-Redondo, Virginia, García-Doval, Ignacio, De La Torre, Carlos, Cruces, Manuel
Format: Article
Language:English
Subjects:
Allergens - adverse effects
allergic contact
Allergic diseases
Biological and medical sciences
Chemical and industrial products toxicology. Toxic occupational diseases
dermatitis
Dermatitis, Allergic Contact - diagnosis
Dermatitis, Allergic Contact - etiology
Dermatitis, Allergic Contact - pathology
Diagnosis, Differential
Ear, External - pathology
Female
gold
Gold - adverse effects
gold sodium thiosulfate
Humans
Immunopathology
Lymphomatoid Granulomatosis - chemically induced
Lymphomatoid Granulomatosis - diagnosis
Lymphomatoid Granulomatosis - pathology
Medical sciences
Metals and various inorganic compounds
Middle Aged
Patch Tests
pseudolymphoma
Skin allergic diseases. Stinging insect allergies
Toxicology
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Description
Summary:Metallic gold has long been regarded as a relatively safe material when in contact with the skin and mucosal membranes, with only sporadic reports of allergic contact dermatitis or stomatitis. This is probably due to its stability and low tendency to ionization. Lymphomatoid reactions have been described in cutaneous responses to several products. We report a patient who developed bilateral nodules on the earlobes at the sites of piercing earrings. Histologically, these lesions presented a lymphomatoid appearance, with a T‐cell diffuse infiltrate. The patch test demonstrated a strong reaction to 1% gold sodium thiosulfate.
ISSN:0105-1873
1600-0536
DOI:10.1111/j.1600-0536.2007.01022.x