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Dermatitis from a chromium dental plate.

W R Hubler, W R Hubler

    Contact Dermatitis
    |September 1, 1983
    PubMed
    Summary

    Systemic absorption of metals from surgical implants can cause allergic skin reactions. A case study highlights chromium allergy from a dental plate causing generalized eczematoid dermatitis.

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    Area of Science:

    • Dermatology
    • Toxicology
    • Materials Science

    Background:

    • Surgical implants, both dental and orthopedic, can lead to systemic absorption of metals and their salts.
    • This systemic absorption is a known cause of cutaneous allergic dermatitis in susceptible individuals.
    • Common culprits for systemic allergic reactions include mercury, nickel, and cobalt due to chronic internal exposure.

    Observation:

    • A specific case involved a patient presenting with a generalized eczematoid dermatitis.
    • The dermatitis was seemingly triggered by exposure to a metal dental plate.
    • Analysis suggested chromium liberation from the dental plate as the causative agent.

    Findings:

    • The presented case demonstrates a link between chromium released from dental prosthetics and allergic contact dermatitis.
    • This suggests that even non-obvious metal sources from implants can elicit significant systemic allergic responses.
    • Individual susceptibility plays a crucial role in developing these reactions.

    Implications:

    • Highlights the importance of considering implant materials in diagnosing chronic dermatitis.
    • Suggests potential need for material screening or alternative biocompatible materials in dental and orthopedic applications.
    • Underscores the significance of metal hypersensitivity in patient health outcomes related to medical devices.

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