| Low-cobalt diet for dyshidrotic eczema patients. | |
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MedLine Citation:
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PMID: 19076887 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Dyshidrotic eczema is a type of chronic intermittent dermatitis characterized by vesicles, dystrophic fingernail changes, and rarely bullae that affects the hands and feet. Many exogenous factors may trigger a flare including dermatophyte infections, contact irritants, and metal hypersensitivity. Although metal hypersensitivity does not play a role in all cases of dyshidrotic eczema, high oral ingestion of nickel and/or cobalt should be considered, regardless of patch test results. OBJECTIVE: We updated and simplified existing published guidelines for low-cobalt diets. A recent review of the literature showed that dietary cobalt restriction, a safe yet burdensome treatment option for dyshidrosis, is referenced to dated sources. METHODS: We have analysed current data for the cobalt content in common food items. CONCLUSION: We propose a revised, point-based diet that will eliminate much of the dietary cobalt (and nickel) and reduce dyshidrotic eczema flares. |
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Authors:
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Joseph Stuckert; Susan Nedorost |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Contact dermatitis Volume: 59 ISSN: 1600-0536 ISO Abbreviation: Contact Derm. Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-12-16 Completed Date: 2009-04-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7604950 Medline TA: Contact Dermatitis Country: Denmark |
Other Details:
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Languages: eng Pagination: 361-5 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cobalt
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toxicity* Diet Eczema, Dyshidrotic / diet therapy*, etiology* Food Hypersensitivity / diet therapy*, etiology* Health Knowledge, Attitudes, Practice Humans Nickel / toxicity Nutritional Physiological Phenomena Practice Guidelines as Topic* United States |
| Chemical | |
Reg. No./Substance:
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7440-02-0/Nickel; 7440-48-4/Cobalt |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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