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From jewelry and kitchen utensils to door handles and hand tools , metals can be found in a salmagundi of workaday item — and for some people , exposure to these aim can trigger an allergic reaction .

But what happens when you have a metal allergic reaction ?

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Why are some people allergic to metals, such as nickel?

The symptom of a metal allergy can crop from comparatively benign to life - lowering , yield that the allergy can , in rare cases , cause metal - containing operative implant to neglect , Dr. Santhosh Kumar , an allergist base at the Children ’s Hospital of Richmond at Virginia Commonwealth University , tell Live Science by electronic mail .

However , the most common symptom of a metal allergy is link dermatitis , an antsy , swollen hide rash triggered by direct contact lens with an allergic reaction - triggering substance , according to a 2012 follow-up issue in the journalDermatology Research and Practice . Evidence indicate that these reactions are related to the fact that common metals that cause contact dermatitis — such as nickel , Co and chromium — lack a full set of electrons .

Related : What cause allergic reaction ?

Illustration shows a red, bumpy rash on a fair-skinned person’s arm

This is an example of how a contact-dermatitis rash can look on pale skin, but note that the resulting rash can vary depending on how severely the skin has been compromised.

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Electrons in speck ambit around a cell nucleus , and for an atom to be stable , it typically ask eight electrons whiz around the orbital itinerary that ’s farthest from the nucleus . But atomic number 28 , for example , has only two electrons there ; throw away those two electrons steady the molecule and return it a positive charge . Thus , the nickel in a necklace or a pants button canshed buck nickel note atoms , known as ions , over time , and these interact with the wearer ’s pelt .

Specifically , the Ni ion latch on to specific proteins present in the skin . And because these alloy - protein composite are perceive by the organic structure as " extraneous , " they trigger an immune response , according to the medical resourceStatPearls .

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Through prolonged and repeated photograph to a metallic element , immune cells can become sensitized to it in this way — but it ’s not fully understood why some people experience this sensitisation while others do n’t . TheAmerican Academy of Pediatrics ( AAP ) notesthat genetic factors refer to the immune system and toskin ’s outer barrierlikely play a role . Environmental factors , such as whether you regularly work with potentially allergy - activate metals , may also bring up the risk , Mayo Clinic sound out .

symptom of link dermatitis can range from a localized flair - up to a whole - body rash , and the severity of the peel rash reckon chiefly on how much the hide barrier has been dawn or damage by the metal in question . In terms of appearance , metallic element - related contact dermatitis " does not look any different than many other rashes , " and may closely resemble an eczema or poison - ivy efflorescence , Kumar said .

Dr. Raman Madan , a skin doctor base in New York and a fellow of the American Academy of Dermatology , described the facial expression of a metal - allergy rash as " red , scaly , curmudgeonly or dark , " with the affected sphere often being itchy , swollen and painful to the touch . The symptoms of contact dermatitis start appearing straight off after exposure , and if untreated , the rash can last anywhere from 12 hours to a month , he narrate Live Science by electronic mail .

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( The AAP also notes that symptom can appear within just 30 minutes of metal exposure , but Mayo Clinic total that they can sometimes take hour to days to show up . )

masses with metal allergies can also develop systemic impinging dermatitis , which pass when metallic element subatomic particle progress to the skin from the blood stream , as can fall out when these particles are ingested with nutrient or medication . Systemic physical contact dermatitis can cause a widespread pink - to - red skin roseola , papules ( small , solid bumps on the skin ) , and exfoliative erythroderma , in which the skin becomes inflamed and starts peeling , according to the 2012 review .

People with metal allergies can also have reactions to certain operative implants , accord to a 2015 review published inThe Journal of Allergy and Clinical Immunology .

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Various eye pacer , intrauterine machine , stilted tooth and joint replacements are made using metallic element complex . reaction to implants can result in localized pain in the ass , swelling and itch near the implant site , and chronicinflammationof the palm and soles . They can even stimulate a failure of the gadget , often due to harmful changes in the skirt tissue paper .

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These reaction can sometimes occur in patient with no prior history of metallic element allergic reaction , the limited review source noted , but in individuals previously diagnose with a metallic element allergy , surgicalimplants can be modifiedto downplay the risk of a reaction .

gratefully , allergic reactions to metal surgical implant are comparatively rarified , Kumar accent .

Woman clutching her head in anguish.

This article is for informational purposes only and is not mean to declare oneself medical advice .

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