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Updated: Jun 25, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Children's clothing fasteners as a potential source of exposure to releasable nickel ions
Katherine E Heim1, Bruce A McKean
1Nickel Institute, Ontario, Canada. kate.heim@verizon.net
Background:
Cutaneous nickel allergy in the very young is not well documented or characterized. A significant number of individuals are nickel sensitized by their mid-teenage years. Recent studies suggest that children may become sensitized to nickel at an early age.
Objectives:
The purpose of this study was to investigate nickel release from children's clothing fasteners as one potential route of exposure of pre-school age children to nickel ions.
Patients/Methods:
Fasteners from new and used children's clothing purchased in the USA were tested using the dimethylglyoxime (DMG) and EN1811 tests for nickel ion release.
Results:
Of 173 fasteners tested, 10 (6%) tested positive using the DMG test for nickel release. EN 1811 standardized nickel release testing of these 10 items demonstrated that 70% (4% of all fasteners tested) released nickel in excess of the European Nickel Directive release limit (0.5 microg/cm(2)/week). Ten randomly selected DMG-negative fasteners were also EN 1811 tested, of which 30% of fasteners exceeded the European Nickel Directive release limit. Therefore, not less than 6% of the fasteners tested released excessive nickel.
Conclusion:
This study concluded that clothing fasteners purchased in the USA could be a source of early childhood exposure to releasable nickel.
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