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Cheilitis Due to Nickel Contact Allergy in a Trumpet Player

 
 

Copyright 2017, Mark Alan Wade

Primary Author: Thomas, P.
Journal Title: Contact Dermititis
Date Published: Jun-00
Language: English
Category: Anatomical, Physiological & Historical Research
Key Words: cherilitis nickel allergy trumpet performance
Full Citation: Thomas, Peter, Franziska Rueff, and Bernhard Przybilla. Cheilitis Due to Nickel Contact Allergy in a Trumpet Player. Contact Dermatitis 42, no. 6 (June 2000): 351-2.
Full Abstract: A 32-year-old man presented with a several-month history of itching, dryness and sometimes scaling of the lips. Various emollients gave no relief. There was no occupational exposure to airborne irritants; no special recreational activities were reported except trumpet playing at weekends. There was no history of atopic diseases or prior allergic contact dermatitis. Examination revealed scaling and partly crusting cheilitis, particularly prominent on the median 1/3 of the lips. There were no reactions on prick testing with house-dust mite (D. pteronyssinus), cat dander or grass pollen. The patient was then patch tested with a standard series, and reactions to the fragrance mix (D2 +, D3 ++) and to nickel sulfate (D2 + +, D3 + +) were found. Subsequent use of fragrance-free emollients did not ameliorate the condition. Re-assessment of the patch test results led to the suspicion that contact with his trumpet could be responsible for the cheilitis. Indeed, there was complete healing of the lip eczema following the use of a gold mouthpiece on his trumpet. For more than 1 year, there has been no recurrence of the condition.