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Allergic contact dermatitis is increasing in children, with nickel being the most commonly detected allergen. Children are typically exposed to nickel in clothing fasteners, ear piercings, and dental work. Nickel release has been documented in video-game controllers, laptop computers, cell phones, and wind-up toys.
These authors discuss the case of an 11-year-old boy with generalized dermatitis present for more than 6 months. The patient had a history of atopic dermatitis, but the current condition differed from its usual pattern and was unresponsive to triamcinolone 0.1% ointment. Standard patch testing revealed 1+ reaction to nickel and was associated with worsened dermatitis. The family noted that the patient had been increasingly using a…