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August 1984

Presumptive Nickel Dermatitis From Hemodialysis

Arch Dermatol. 1984;120(8):1066-1068. doi:10.1001/archderm.1984.01650440096029

• Presumptive cutaneous hypersensitivity to nickel administered intravenously during hemodialysis was observed in a patient with nickel sensitivity. The source of the nickel was a 316 stainless-steel fitting that came in contact with 6N hydrochloride during dialysis. An in vitro experiment was performed to demonstrate the ability of nickel to be dialyzed into blood through a standard hemodialysis system. A plasma nickel level 89% higher than that of the original dialysate was achieved with a single cycle of dialysis. This is consistent with the plasma protein binding of nickel.

(Arch Dermatol 1984;120:1066-1068)