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No association between metal allergy and cardiac in-stent restenosis in patients with dermatitis-results from a linkage study.
MedLine Citation:
PMID:  21226719     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background. Percutaneous coronary intervention (PCI) with implantation of a metal stent is a common procedure performed in patients with symptomatic ischaemic heart disease. Intracoronary stents typically have a backbone of stainless steel, which contains nickel, chromium, and molybdenum, and it remains unclear whether individuals who are allergic to these metals have an increased risk of restenosis after PCI with stent implantation. Objectives. To further evaluate whether dermatitis patients with nickel and/or chromium allergy had an increased risk of developing cardiac in-stent restenosis with stainless steel stents. Methods. An individual-level linkage study was performed to identify dermatitis patients who had been patch tested with the European baseline series between 1979 and 2007 at Gentofte University Hospital (N = 18794) and who had also undergone PCI at some point in a Danish hospital. Results. One hundred and forty-nine (0.8%) dermatitis patients who had undergone PCI with a metal stent were included. One hundred and forty-seven were patch-tested before undergoing PCI. Of the patients, 14.1% (21/149) had cardiac in-stent restenosis. Among patients with metal allergy, 2 (11.8%) had restenosis. Conclusions. Nickel and/or chromium allergy in dermatitis patients does not appear to increase the overall risk of in-stent restenosis after PCI.
Authors:
Jacob P Thyssen; Kåre Engkilde; Torkil Menné; Jeanne D Johansen; Peter Riis Hansen; Gunnar H Gislason
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Publication Detail:
Type:  Journal Article     Date:  2011-01-13
Journal Detail:
Title:  Contact dermatitis     Volume:  64     ISSN:  1600-0536     ISO Abbreviation:  Contact Derm.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-01-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7604950     Medline TA:  Contact Dermatitis     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  138-41     Citation Subset:  IM    
Copyright Information:
© 2011 John Wiley & Sons A/S.
Affiliation:
Department of Dermato-Allergology, National Allergy Research Centre, Copenhagen University Hospital Gentofte, DK-2900 Hellerup, Denmark Department of Cardiology, Copenhagen University Hospital Gentofte, DK-2900 Hellerup, Denmark.
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