Nickel allergy in adolescents in relation to orthodontic treatment and piercing of ears

Nickel allergy in adolescents in relation to orthodontic treatment and piercing of ears
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DOI:
10.1016/s0889-5406(96)70175-0
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发表时间:
1996-02-01
影响因子:
3
通讯作者:
HenstenPettersen, A
HenstenPettersen, A
中科院分区:
医学2区
文献类型:
--
作者:
Kerosuo, H;Kullaa, A;HenstenPettersen, A

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本研究的目的是调查青少年镍过敏的频率与性别、开始、持续时间和正畸治疗的类型以及穿耳洞的年龄之间的关系。研究对象为700名14至18岁的芬兰青少年,其中476人(68%)有金属矫治器正畸治疗史。该研究包括对镍过敏的贴片测试和通过问卷调查和患者记录获得的患者病史。全组镍致敏率为19%,镍过敏在女孩(30%)中明显高于男孩(3%),在耳洞受试者(31%)中明显高于未耳洞受试者(2%)。正畸治疗似乎不影响镍敏化的流行,在穿耳前接受固定正畸矫治器治疗的女孩中没有一个对镍过敏,而在开始正畸治疗前经历过耳穿孔的女孩中有35%对镍敏化。结果表明,正畸治疗似乎不会增加镍过敏的风险。相反,数据表明,在镍致敏(耳洞)之前使用含镍金属正畸器治疗可能会减少镍超敏反应的频率。
The aim of this study was to investigate the frequency of nickel hypersensitivity in adolescents in relation to sex, onset, duration and type of orthodontic treatment, and the age at which ears were pierced. The subjects were 700 Finnish adolescents, from 14 to 18 years of age, of which 476 (68%) had a history of orthodontic treatment with metallic appliances. The study consisted of patch-testing for a nickel allergy and a patient history obtained by a questionnaire and from patient record. The frequency of nickel sensitization in the whole group was 19%, Nickel allergy was significantly more often found in girls (30%) than in boys (3%) and in subjects with pierced ears (31%) than in those with no piercing of ears (2%). Orthodontic treatment did not seem to affect the prevalence of nickel sensitization, None of the girls who were treated with fixed orthodontic appliances before ear piercing showed hypersensitivity to nickel, whereas 35% of the girls who had experienced ear piercing before the onset of orthodontic treatment were sensitized to nickel. The results suggest that orthodontic treatment does not seem to increase the risk for nickel hypersensitivity. Rather, the data suggests that treatment with nickel-containing metallic orthodontic appliances before sensitization to nickel (ear piercing) may have reduced the frequency of nickel hypersensitivity.