ArticlePDF Available

The release of nickel and other trace elements from electric kettles and coffee machines

Authors:

Abstract

The release of nickel, chromium and lead from electric kettles to water under conditions simulating regular household use was investigated. Ten out of 26 kettles sold on the Danish market released more than 50 micrograms/l nickel to water, whereas neither lead nor chromium was released in any significant amount. Fifty micrograms/l of nickel in water was chosen as the threshold of action, because concentrations below this value were considered unlikely to provide outbreaks of eczema for those consumers suffering from contact allergy to nickel, who are also sensitive to the content of nickel in the diet. This first part of the study was followed up by a dialogue between the kettle producers and the Danish authorities, leading to a change of construction or design for those kettles that did not comply with the criteria. As a follow-up study another ten kettles were studied to check whether compliance was improved. Two of these ten kettles still released more than 50 micrograms/l nickel to water under the test conditions. These two kettles, however, were subsequently withdrawn from the market. Coffee machines tested similarly did not release aluminium, lead, chromium or nickel in quantities of any significance.
Full Terms & Conditions of access and use can be found at
https://www.tandfonline.com/action/journalInformation?journalCode=tfac20
Food Additives & Contaminants
ISSN: 0265-203X (Print) (Online) Journal homepage: https://www.tandfonline.com/loi/tfac19
The release of nickel and other trace elements
from electric kettles and coffee machines
Torsten Berg , Annette Petersen , Gitte Alsing Pedersen , Jan Petersen &
Charlotte Madsen
To cite this article: Torsten Berg , Annette Petersen , Gitte Alsing Pedersen , Jan Petersen &
Charlotte Madsen (2000) The release of nickel and other trace elements from electric kettles and
coffee machines, Food Additives & Contaminants, 17:3, 189-196, DOI: 10.1080/026520300283441
To link to this article: https://doi.org/10.1080/026520300283441
Published online: 10 Nov 2010.
Submit your article to this journal
Article views: 86
Citing articles: 21 View citing articles
The release of nickel and other trace elements from electric
kettles and coŒee machines
To rst en B erg{*, Annette Petersen{, Gitte A lsing
Pe dersen{, Jan P ete rsen{a nd C harlo tt e Madsen {
{Danish V eterinary and Food Adm inistration , Mù rkh ù j Bygad e 19,
DK-286 0 S ù borg, D enm ark; {Odense Regional L aborat ory , L ille
T ornbje rgve j 24 , DK-52 20 O den se S é , Denm ark
(R eceived 14 M ay 1999; revised 20 A ugust 1999; accepted 30
November 1999 )
T he release of nickel, chrom ium an d lead from electric
kettles to water under conditions simulating regular
house hold use was i nvestig ated. T en out o f 26 k ettles
sold on the Danish market released more than 50 ·g/l
nick el to water, whereas neither lead nor chrom ium was
released in any signi®can t am ount . Fifty ·g/l of nickel
in water was chosen as the threshold of action, because
concentrations below this value were considered un-
likely to provide outbreaks of eczem a f or thos e con-
sum ers su ering from contac t allergy to nickel, who are
also sensitiv e to the conten t of nickel in the diet. T his
®rst part of the study was f ollow ed up by a dialogue
between th e kettle producer s and the Danish auth-
oritie s, leading to a change of construction or design
for those kettles that did not com ply with the criteria.
As a f ollow -up study another ten kettles were studied to
check whether complianc e was improved . T wo of these
ten k ettles still released more than 50 ·g/l nickel to
water unde r the test conditions . T hese two kettles,
howe ver, were subsequently withdrawn f rom the mar-
ket . Co ee machines tested similarly did not release
alum inium , lead, chro mium or nickel in quantitie s of
any signi®cance.
Ke yw ords : nickel (Ni) , chromium (Cr), lead (Pb),
aluminium (Al), electric kettles, co ee machines
Introd uction
In general , nickel is not a particularl y toxic trace
element (Nielsen 1977 ). Some consumers, however,
already su ering from contact allergy to nickel may
get systemic reactions, e.g. eczema, from ingestion of
fairly small amounts of nickel from foodstu s rich in
nickel, or from food and drink contaminated by food
contact materials which release nickel. Nickel allergy
may arise when the skin remains in contact with
nickel-containing items such as jewellery or buttons,
but does not arise from ingestion of nickel com-
pounds (Christensen and Mù ller 1975 , Veien and
Menne
Â1990 , Bertram 1992 , Nielsen and Menne
Â
1992, Menne
Âet al. 1994) . An estimate d 10±15% of
the populatio n su ers f rom nickel allergy , 10% of
which may be sensitive to the content of nickel in the
diet (Veien et al. 1 993) .
There is no Joint FAO/WHO Expert C ommittee on
Food Additives and Contaminants (JECFA) evalua-
tion of the toxicity of nickel, but the World Health
Organizatio n (WHO) has laid down a Tolerable Daily
Intak e (TDI) of 0.005 mg/kg bodyweight f or the
intak e from drinking water. This has led to a guide-
line level of 20 mg/l for drinking water (WHO 1993) .
The European Union (EU) directive on drinking
water in f orce has a limit of 50 mg/l for nickel in
drinking water (EEC 1980) based upon considera-
tions other than nickel allergy. It has recently been
decided that this limit will be reduced to 20 mg/l in
2002 (EU 1998). Moreover , the EU f ramework direc-
tive on materials and articles intended to come in
contact with foodstu  s states that such materials and
articles may not under normal or foreseeabl e con-
ditions of use transfer their constituent s to f oodstu s
in quantities which could endanger human health
(E EC 1 989) .
Nickel is a ubiquitou s element , and the average daily
intak e of nickel is approximate ly 200 mg (150 ±700 mg).
It comes from a numbe r of foodstu s, including
mainly cereal products , in particular bran , muesli
Food Add itiv es and C ont aminants , 20 00, V ol. 17 , No. 3, 1 89 ±196
* To who m corresponden ce sh ould b e a ddressed .
Food A dditiv es and C ontam inant s ISSN 0265±203X p rin t/IS SN 146 4±5122 online #200 0 Taylo r & Franci s Ltd
http ://w ww .tan df. co. uk/j ourna ls/tf /02652 03 X. html
and similar products, pulses, legumes and oilseeds,
including cocoa beans (National Food A gency 1990a,
1995, Codex 1995). Nuts, seeds, chocolate products
and bivalve molluscs may contain high concentra -
tions of nickel (Codex 1995). These product s should
not be consumed excessively by consumers sensitive
to nickel in the diet.
Foodstu s such as drinks that are often consumed in
large quantities are of particular interest, as they may
contribut e a fairly large single dose of nickel, even
though the concentration does not seem excessive.
Moreover, nickel dissolved in water is more bioavail-
able than nickel in f oods (Solomons et al. 1982,
Sunderman et al. 1989 , Nielsen et al. 1999). Further-
more, the release of nickel from f ood contac t
materials and articles may contribute to the daily
intake of nickel.
Because co ee machines and electric kettles are
widely used for the preparation of co ee, tea and
instant co ee, the question arose whether such kit-
chen utensils might leach metals to the ® nal product
in quantitie s that could endanger huma n health. The
present study was designe d to test co ee machines
and electric kettles sold in Denmark f or possible
release of lead, chromium and nickel under conditions
that simulated normal household use. For co ee
machines , the release of aluminium w as also deter-
mined. The choice of test conditions , including the use
of a standardized drinking water, is of special rele-
vanc e in Denmark, as the large majority of drinking
water used is ground water of considerable hardness,
due to the geological nature of the country.
Materials an d methods
Co ee machine s and electric kettles
In the ® rst part of th e study 26 di erent brands of
electric kettles and 15 brands of co ee machines
produced in Denmark and other European countries
were sampled by local food inspectors in production
or import facilities. The models sampled largely cov-
ered the Danish market in late 1994. Information
concerning the composition of the heating element
was obtained from producers or importers. A ll kettles
were tested for release of lead, chromium and nickel,
and the co ee machines were also tested for release of
aluminium.
The second part of the study focused on electric
kettles. Ten brands of kettles, including those that
released more than 50 mg/l nickel in the ® rst study and
remained available in 1996 were tested for nickel only.
All samples were new, and prior to testing they were
treated as described in the manufacturers’ directions
for use.
Extraction
Extracts were produced under conditions that simu-
late normal household use. As the composition of
drinking water in Denmark varies considerably, a
standardize d drinkin g water f or extractio n was pre-
pared by dissolving 50 mg/l sodium chloride and
50 mg/l calcium carbonate in de-ionized water, essen-
tially free from these ions. A ir was blown through the
solution until saturatio n and pH adjuste d to 6.6 using
carbon dioxide or air (Markussen 1996, personal
communication). This standardized drinkin g water
corresponds with respect to sodium, calcium and
chloride to a typical Danish drinkin g water sample.
If the standardized water was to be used af ter the day
of prep aratio n , pH w as re -adjust ed t o 6. 6 bef or e use.
The standardized drinking wate r was also used as a
blank throughout the experiments.
All extracts were produced by boiling 500 ml of the
standardize d drinking water in the kettle until auto -
matic switch o or until the co ee machine reservoir
was emptied. A fter cooling to room temperature ,
100 ml of this solution was transferred to a poly-
ethylene container which had been thoroughly rinsed
with nitric acid, and 2 ml of suprapu r nitric acid was
added. This extract was used for further analysis.
For each co ee machin e or electric kettle six extracts
were produced. The ® rst three were produced as
described, one after another, and the content of trace
elements in each of them was subsequently measured.
Then the co ee machine or the electric kettle was
descaled, i.e. calcareous deposits on the heating ele-
ment were removed, using either the method pre-
scribed by the producer, or by using a boiling 3%
(w/v) citric acid solution, which was left for 30 min.
For the co ee machines a similar descaling procedure
was applied. A f ter descaling, the following two ex-
tracts were discarded. The next three extracts (nos
4±6) were submitted to chemical analysis.
190 T . B erg et al.
Extracts 3 and 6 were used to decide whether the
co ee machine or electric kettles complied with the
acceptance criterion.
Methods of analysis
In the ® rst part of the study, the content of lead,
chromium and nickel in the extracts from electric
kettles was determined by graphite furnace atomic
absorptio n spectrophotometry (GF-AA S), using a
Perkin Elmer Zeeman 3030 instrument. Measure -
ments were performed in accordanc e with a standar d
method ( National Food Agency 1990b), using
platform atomization and appropriate chemical
mod ers. In the second part of the study a Perkin
Elmer 1100 B instrument and deuterium background
correction was used, and a similar measuring routine
was applied.
Calibratio n was performed according to the method
of standard additions. A ll extracts were initially meas-
ured to establish the level of metal ions, and then a
certi® ed reference material was measured (see Quality
Assurance , below). Extracts were appropriately
diluted and standar d additions of 30 mg Ni/l, 20 mg
Cr/l and 30 mg Pb/l were made to the extracts. All
extracts were then determined, using a standar d curve
comprising the blank and the standard additions. The
standards were prepared using 1000 mg/l Titrisol p.a.
ampoules from Merck.
For the co ee machines the release of aluminium (Al),
and f or som e models also nickel (Ni) , chromium (Cr)
and lead (Pb), was determined by an ICP±MS Perkin
Elmer ELAN 5000 instrument. The analyses were
performed using a total-quant multi-element scanning
method.
Quality assurance
The accuracy of the analyses was assessed using
certi® ed reference materials , i.e. the reference waters
LL 1 and LL 2 f rom the Water Quality Institut e VKI
in Hù rsholm, Denmark. The reference materials were
measured several times in each analytical series.
Each series of analysis by GF-AAS comprised ten
samples, each determined twice by double injections,
and included one blank. The blanks were standard-
ized drinking water, as used f or the extractions, to
which suprapur nitric acid was added. The detection
limits, equivalent to three times the standard devi-
ation of the blanks, were 1 mg Ni/l, 0.5 mg Cr/l and
1mg Pb/l. The detection limit f or ICP±MS analysis of
aluminium was 5 mg A l/l.
If a kettle released more than 50 mg nickel/l, the
measurement was repeated . When con® rmed, a new
kettle of the same brand was sent to another labora-
tory f or an independent veri® cation of extraction and
analysis. In all cases the ® rst results were con® rmed.
Results and discuss ion
Co ee machine s
In 13 out of 15 co ee machines included in the study,
the heating elements were made of aluminium, and
they did release f rom 137 to 765 mg/l aluminium to the
third extract, and from 50 to 76 0 mg/l aluminium to
the sixth extract (table 1). These levels of aluminium
were considered not to contribute signi® cantly to the
daily intake of aluminium and not to constitute any
health hazard. In the two remaining co ee machines
the heating elements were made from copper or a
copper/stainless steel combination. No release of
aluminium from these two kettles could be detected .
Five co ee machines , including the two that did not
release aluminium, were tested for release of chro-
191Release of trac e elem ents from k ettles
T abl e 1. Re lease of a lum iniu m f rom co  ee m achi nes
(·g/1)in 1994.
Heating element Extr act no. 3 Extract no. 6
Al uminium 137 63
Al uminium 212 100
Al uminium 211 190
Al uminium 198 108
Al uminium 196 421
Al uminium 337 80
Al uminium 279 400
Fib re glass and copper ± ±
Al uminium 303 139
Al uminium 281 199
Al uminium 765 760
Stainless s teel an d copper ± ±
Al uminium 368 50
Al uminium 312 226
Al uminium 346 235
±: Release of aluminium below detection limit of 5 mg/l.
mium and nickel, and two were tested for lead. The
results were all below the limit of determinatio n
except for one co ee machine which released 54 mg/l
nickel to extract number 6, i.e. after descaling.
The release of aluminium f rom co ee machines before
and after descaling was followed. Figure 1 shows the
release for two machines. The results generally show a
decrease before descaling. This may be explained by
the f ormation of deposits on the aluminium surf ace.
Just after descaling , a minor increase followed.
Electric kettles
The 26 electric kettles studied in the ® rst part of this
investigatio n were class ed according to the metals
of the heating elements. Ten had nickel-plated heating
elements made of copper and seven had chromium-
plated copper heating elements. Five had heating
elements of stainless steel, whereas the heating
elements were gold-plated for three kettles and
Te¯ on-coated for one.
Only one of the 26 electric kettles released chromium
(6. 7 mg/l) to extract number 3 to an extent which
exceeded the limit of detection of 0.5 mg/l. Two out
of 26 electric kettles released 1 and 5 mg/l lead,
respectively, to extract number 3, and the latter also
released 1 mg/l to extract number 6. None of the
remaining kettles released measurable amounts of
chromium or lead under the test conditions.
The release of chromium and lead f rom the electric
kettles studied is considered to be insigni® cant and
not to contribute to any substantial degree to the
intak e of chromium or lead from the diet.
The release of nickel f rom the 26 electric kettles to
extracts 3 and 6 is presented in table 2. All ten kettles
having nickel-plated heating elements released
measurable quantities of nickel to the standardized
water extracts, as did two out of seven kettles having
chromium-plated heating elements and one with a
stainless steel heating element. Those kettles that had
192 T . B erg et al.
Figure 1. Relative release of aluminium f rom co ee m achines in 1994 com pared to extract 1.
heating elements covered with gold (with one
exception discussed below) or T on released no
nickel, or only small and insigni® cant quantitie s of
nickel during the test.
For seven out of the ten electric kettles having nickel-
plate d heating elements made out of copper the
concentration of nickel found in extract number 3
exceeded 50 mg/l. A f ter descalin g a similar trend was
found , as seven out of ten kettles, though not quite
the same seven as before, again did not comply with
the criterion. The concentrations of nickel released
to the extract varied considerably from product to
product. The variation between kettles of di erent
brands may be caused by di erences in design and in
particular in technology applied f or nickel plating.
For the seven kettles having chromium-plated copper
heating elements, two released quantities of nickel in
excess of 50 mg/l, whereas ® ve released quantities close
to the limit of determination. Quite frequently
chromium plating on copper includes a nickel coating
of the copper as a ® rst step, which enables the sub-
sequent chromium plating to stick more e ciently to
the heating element. This technology may explain the
large release of nickel from some chromium-plated
heating elements.
One electric kettle with a gold-plated heating element
released nickel af ter descaling. The reason for this
unexpected ® nding was subsequently identi® e a
small disk that formed part of the constructio n was
coate d with nickel. The design was then change d and
the disk replaced. The Te¯ on-coated aluminium heat-
ing element used in one electric kettl e did not release
any measurable amount of the elements being studied.
In general, electric kettles with heating elements made
of stainless steel did not release substantial quantities
of nickel when exposed to the test in this study. One
kettle, however, with a heating element of stainless
steel released nickel, probably due to the use of other
parts made of or coated by nickel or due to use of a
steel quality that could release nickel.
Following the conclusion of the ® rst part of this study
the Nationa l Veterinar y and Food A dministration
entered into a dialogue with the importers and pro-
ducers of the ten electric kettles that released nickel in
quantities exceeding 50 mg/l. These electric kettles
were found to release nickel to an extent that may
endanger human health by provoking an attack of
nickel eczema in consumers already having acquired
a nickel allergy and being sensitive to the content of
nickel in the diet. Whereas this criterion was consid-
ered fairly strict by some producers, arguing that
attack s of eczem a had only been provoked by sub-
stantially larger quantities in medical experiments
(Dubois 1995 , personal communication), it was gen-
erally accepted that nickel allergy was a widespread
and serious problem for Danish consumers. More-
over, it was considered that any changes in construc-
tion of these electric kettles that could remove the
possibility of such kettles being a risk f actor for
nickel-allergic consumers would be to the bene® t of
both consumers and industry. It was also generally
recognized that nickel ions in aqueous solution might
well be more easily bio-available than nickel in f ood
and hence more prone to cause attacks . The industry
therefore agreed to undertake construction changes to
eliminate the problem . The Danish authorities conse-
quently decided systematically to inform consumers
about the problem, including publishing names and
models of all the products studied, rather than using
193Release of trac e elem ents from k ettles
T abl e 2. Re lease of n icke l f ro m ele ctric k ettle s (mg/l)in
1994.
Heating element Extrac t no. 3 Extr act no. 6
Nickel-plated 268 522
102 297
212 152
23 25
129 88
167 77
182 381
19 63
84 35
13 44
Chromium-plated 154 187
110 154
2 1
3±
2±
2±
± ±
Stainless s teel 30 31
± ±
± ±
± ±
± ±
Gold plated ± ±
2 20
1±
Te¯ on coated aluminium ± ±
±: R elease of nickel below det ection limit o f 1 mg/l.
bans and withdrawal of the products (Berg et al.
1995) .
Criteria for acceptable nickel release
Several studies are published where patients with
chronic nickel eczema have been orally challenged
with nickel sulphate in capsules resulting in ¯ are-up
of symptoms ( reviewed in Veien and Menne
Â1990) .
Studies with low doses (400±600 mg nickel) have
showed co icting results. These variation s may well
stem from the fact that: ( i) patients were not asked to
keep a diet low in nickel in the challenge and in the
placebo period, (ii) the possible nickel release from
electrical kettles used by the patients was unknow n
and (iii) in the study by Gawkrodge r et al. (1986) the
patients were asked to ingest the nickel prior to
breakfast. When nickel is ingested in w ater , af ter an
overnight fast, 30 min or 1 h prior to a meal of
scrambled eggs, peak nickel concentration in serum
is 13-fold higher than in cases when nickel-containing
water and scrambled eggs is ingested simultaneously
(Nielsen et al. 1999). If the nickel intake is not
standardized in relation to food intake substantial
variations may be expected.
Two studies have show n ¯ are-up of dermatitis after a
single oral dose of 600 mg nickel (Kaabe r et al. 1979,
Cronin et al. 1981) and one study af ter two weekly
doses of 500 mg nickel ( Jordan and King 1979).
According to the existing knowledge, 600 mg nickel is
the lowest adverse e ect level, i.e. the lowest dose
resulting in ¯ are-up of dermatitis in sensitive subjects.
The low e ect level is based on a single dose . It is
likely that nickel intake from water will be accumu-
lated , as the median nickel half-times found in the
Nielsen study was 19. 9±26.7 h (Nielsen et al. 1999) .
There is no established no-e ect level.
If a kettle releases 400 mg nickel/l boiled water, and
1.5 l water is consumed daily (the mean liquid intake
of an adult) , the total daily intake equals the low
e ect level of 600 mg. Hence there is a safety factor of
eight from the current EU limit f or nickel in drinking
water of 50 mg/l to the 400 mg/l. A s the low e ect level
is establishe d in the most sensitive humans , a safety
factor of eight is considered appropriate to adjust for
a possible cumulative e ect , and from e ect level to
no-e  ect level. Fifty mg/l was therefore chosen as the
threshold of action.
Second part of the studyÐ the f ollow-up
Two years later the study concerning possible release
of nickel from electric kettles was repeated. This was
done to verify whether industry had changed the
kettles to comply with the release criterion estab-
lished. Ten brands of kettles were sampled , including
two that had been included in the previous study, and
eight with heating elements made of nickel-plated
copper or chromium-plated copper. In general, kettles
with heating elements made from stainless steel or
plate d with gold or T on were not sampled in this
part of the study as they were considered to comply
with the criterion based upon the experience f rom the
® rst part of the study.
The results show that eight of the ten electric kettles
sampled in this part of the study complied with the
criterion, seven of which had heating elements
made of chromium-plated coppe r and one out of
stainless steel. The two remaining had heating ele-
ments of respectively nickel-plated copper, and cop-
per coated with a nickel±chromiu m alloy and both
released nickel in quantities above 50 mg/l. A model,
which did not release nickel subsequently replaced
one of these, and marketing of the other w as dis-
continued.
The second part of the study was again followed up
by informatio n f rom the authorities to the consumers .
This was done because even if all electric kettles sold
on the Danish market could be considered harmless,
even for consumers su ering from nickel allergy and
sensitive to small quantities of nickel in the diet, there
would still for several years ahead remain electric
kettles in general household use, which did not com-
ply with the criterion established .
This part of the study included following the release
of nickel during 25 extractions af ter descaling, again
to simulate norma l household use. Two kettles with
nickel-plated heating elements releasing substantial
quantities of nickel in the ® rst extract af ter descaling
were studied. After 10±15 extractions, the release of
nickel dropped to less than 20% of the release in the
extract number 6, i.e. the third af ter descaling, see
® gure 2. Therefore, it is advisable that consumers do
not descale their kettles too frequently , and it is
recommended that water is boiled and discarded
several times after descaling prior to the use of the
kettle for food purposes.
194 T . B erg et al.
Com parison with other studies
Studies published on the release of chromium and
nickel from stainless steel kitchen utensils (Vrochte et
al. 1991 , Flint and Packirisam y 1995 , 1997 ) showed
that, in general and with the occasional exception of
the ® rst use of a utensil , insigni® cant quantitie s of
chromium and nickel were release d to the food f rom
utensils made of the grade of stainless steel that is
normally used f or such utensils .
One study focused on the release of nickel from nine
electric kettles ( Helmers 1998). Helmers found that
the release of nickel from nine electric kettles that had
not been descaled varied f rom the limit of detection to
55 mg/l, while the release after descaling varied from
170 to 640 mg/l. Moreover, Helmers showed that the
release decreased again after descaling to approach
the limit of detection of 5 mg/l af ter 100 extractions.
Our results are in accordance with both these ® nd-
ings.
Conclus ions
The study has shown that, during experiments
that simulate normal household practice in
Denmark, electric kettles with nickel-plated or chro-
mium-plated heating elements may release nickel to
water. The quantities released f rom some new kettles
and f rom some kettles after descaling may cause
problems for those consumers with nickel allergy
who are sensitive to nickel in the diet. For other
consumers the water boiled in electric kettles may
be an additional source of nickel, but not one posing
any health hazard.
Electric kettles with heating elements made of
stainless steel, or with elements e ciently coated by
gold or Te¯ on , did not release nickel in quantitie s of
any signi® cance , whereas kettles with elements of
nickel-plated copper and some of chromium-plated
copper did.
195Release of trac e elem ents from k ettles
Figure 2. Relative release of nickel f rom two di erent kettles com pare d to extract 3 after descaling .
The repeated study as well as subsequent inspections
by the municipal food inspection authorities showed
that electric kettles of the types that did release
substantial quantities of nickel were removed from
the market during 1996. The strategy applied by the
authorities to reduce the nickel exposure consisted
of dialogu e with the producers and importers of
electric kettles in order to make them use more
suitable materials in the kettle-manu facturing pro-
cess. At the same time the consumer s were informed
to be cautious. This had the desired e ect on the
market.
References
BERG,T., PEDER SEN,G.A., and MAD SEN,C., 1995 , El-kedler og
nikkelallergi. Ra
Êd & Res ultater 35 (4) , 12±13.
BERTR AM,H.P.Spur enele m ente Ð A naly tik , o
Èkot oxiko logische un d
medizinsch-klinische Bedeutung, 1992 (Mu
Ènchen, Germany:
Urba n & Schwarzenber g).
CHRI STENSEN ,O.B., and MØLLER,H., 19 75 , Ext erna l a nd inter nal
expos ure to the antigen in the h and eczema of nickel allergy.
Contact Derm atitis,1, 136 ±141.
CHRI STENSEN ,O.B., and MØLLER,H., 1978 , R el ease o f ni ckel f ro m
kitch en uten sils. C ontac t Der ma tit is,4 , 343±346 .
CODEX ALIMENTARIUS COMMISSION , 1995 , Codex General Standard
for Cont amina nts and Toxins in Fo ods. Do cumen t no. CX/
FA C 96/17 . Join t FA O/ WH O Foo d Stan dard s Pro gramm e .
CRONI N ,E., DIMIC HI EL,A.D., an d BROW N ,S.S., 1981 , Oral ch al-
lenge in nickel-sensitive women with hand eczema. Ann als of
Clin ical L aborator y S cienc e,11 , 149±152.
EE C , 1980 , Council Directive 80/778/E EC related to the quality of
water for human consumption. O  cial Journal of the
Europe an C om m uniti es,L 2 29, 11±29.
EE C,1989, Cou ncil Directiv e 89/109 /EEC on th e appro ximat ion of
the l aws of the Member S tates r elatin g to materials and artic les
inten ded to com e in con tact w ith fo odst u s. O c ial Journa l of
the Europe a n C om m uni ties ,L 4 0, 38±44.
EU , 1998 , Council Directive 98/83/EU related t o the qu ality of wat er
for human consu mption. O  cial Jo urna l of t he Eu ropea n
Com m uni ties ,L 330, 32±54.
FLIN T,G.N., and PACKI RISAMY,S., 1995 , Systemic n ickel: the con-
tribution made by stainless steel cooking utensils. Contact
De rm atit is,32, 218 ±224.
FLIN T,G.N., and PACK IRISAMY,S., 1997 , Purity of f ood co oked i n
stainless steel utensils. Food Addit ives and C onta m inant s ,14 (2),
115±126.
GAW KR ODG ER,D.J., COOK ,S.W., FELL ,G.S., and HUN TER,
J.A.A., 1986 , Nicke l dermatitis , the react ion to oral nick el
challenge. Briti sh Journa l o f D erm ato logy ,115, 33 ±38.
HELMERS,E., 1998 , Ni ckel- Ein trag au s W asse rkoch er n ins
Trinkwasser. D eutsc he L ebens m itt el-R undsc hau ,94 ( 2), 50±52.
JORD AN,P.W., and KING ,S.E., 1979 , N ick el fe edin g in n ickel -
sensitive patients with hand ezcema. Journal of the American
Acad em y of D erm at olog y,1 , 506±508.
KAABER,K., MENN E
í,T., TJELL,J.G., VEIEN ,N., 1979 , An tabuse
treat men t of nickel dermatitus. C helation ±a new prin ciple in
treatment of nickel dermatitus. Conta ct De rma titus ,5, 221 ±228.
MENNE
í,T., VEIEN ,N., SJØLIN ,K.
-E., and MAIBACH ,H.I., 1994,
Syst emic co ntact dermatitis. Am erican Journa l of C ontact
D erm ati tis,5 , 1±12.
NATION AL FOOD AGENC Y OF DENMARK , 1990a, Foo d Moni torin g in
D enm ark . Nut rien ts and C onta m inant s 198 3±87 , publication
no. 19 5 (De nmark : National Food Agen cy) .
NATION AL FOOD AGENCY OF DENMAR K,1990 b, Best em els e af bly ,
cad m ium , ch rom , nikk el , sel en og antim on i l evneds m id ler ved
bom bef oraskning og gra®tovns-atomabsorptions-spektrom etri,
m etod e B U 88 22 (Denmark: National Food A gency).
NATION AL FOOD AGENC Y OF DENMARK , 1995, Food M onito ring in
D enm ark . Nut rien ts and C onta m inant s 198 8±92 , publication
no. 23 1 (De nmark : National Food Agen cy) .
NIELSEN ,G.D., SØDERB ERG,U., JØRGENSEN ,P.J., TEMPLETON ,
D.M., RASMUSSEN,S.N., AND ERSEN,K.E., and
GRAND JEAN ,P.,1 999, Absorption an d retent ion of nick el fro m
drinking water in relation to food intake and nickel sensitivity.
T oxicology and Applied Pharmacology,154, 67±75.
NIELSEN ,F.H.,1977, Nickel toxicity. Advance s i n M odern T ox icology ,
V ol . 2 , T oxi colo gy of T rac e E lem ent s, edited by R. A . Goyer
and M. A . Mehlman (New Y ork: Hemis pher e Pub lishi ng).
NIELSEN ,N.H., and MENNE
í,T.1992, Allergic contact sensitization in
an unselected Danish population. Th e Glostrup Allergy
Stu dy, Denmark . Acta D ermatologica et V eneorologica,72 ,
456±460.
SOLOMONS,N.W., VIT ERI,F., SHU LER,T.R., an d NIELSEN,F.H.,
1982 , Bioavailability of nickel in m an: e e cts on f oods and
chemically-de® ned dietary constituents on the absorption of
ino rganic n ickel. Journa l of Nut ritio n,11 2, 39±50.
SUND ERMAN ,F.W., HOP F ER,N.H., SW EENEY,K.R., MAR CUS,
A.H., MOST,B.M., and CR EASON,J., 1989, Nickel abso rption
and k inetics in hu man vo lunte ers. P roceedi ng s of th e S ociet y of
Expe rim ental Biology a nd Medi cine,191 , 5±11.
VEIEN,N., and MENNE
í,T.,1 990 , Nicke l contact allergy and a ni ckel-
rest ricted diet. S em inar s i n Der m atolog y ,9, 197 ±205.
VEIEN,N.K., HATT EL,T., an d LAUER BERG,G., 1993, Low nickel diet:
an open pro spective trial. Journ al of th e A m eric an Acad em y of
D erm ato logy ,29 (6), 1002±1007.
VROC HT E,H., SCH ATZ K E,M., DRIN GENBER G,E., WOLVER-RIECK,
U., and BU NIN G-PFAUE,H., 1991, Investigations of the release
of n ickel from stainless steel utensils. Z eitschrift fu
Èr
Erna
Èhrungswissensch aft,30, 181±191.
WH O , 1993. G uideli nes for drink ing water quality. Vol ume 1, 2nd
edition. Rec om m endat ion s (Geneva , Switzerland: WHO).
196 T . B erg et al.
... [1] The excess intake of Ni causes dermatitis, nausea, chronic asthma, coughing, cancer), destroys RBCs, nephrotoxicity, anaphylaxis. [2][3][4] Metallurgical, mining, electroplating, paint and pigment, chemical manufacturing, fertilizers and steel production unit discharge extensive amount of Cu in the water stream. [1] The Cu overdose leads to its accumulation in liver, kidney, pancreas and brain which ultimately leads to death. ...
... The percentage removal of Cu 2+ , Ni 2+ and Zn 2+ ions and adsorption capacity of the composite are estimated by equations (1) and (2). ...
Article
In the present investigation, adsorption of Cu²⁺, Ni²⁺ and Zn²⁺ ions is carried out on the surface of novel composite made up of bentonite clay and red-ocher. The study of molecular dynamics through dimensionless numbersφ, Nk and λ proved that adsorption of Cu²⁺, Ni²⁺ and Zn²⁺ ions on the surface of composite was diffusion controlled. A deviation of 0.08% for Cu²⁺, 1.26% for Ni²⁺ and 0.53% for Zn²⁺ ions between experimental and artificial neural network model predicted values reflected that the back-propagation technique involving Levenberg-Marquardt algorithm was appropriate for the prediction of the output function. The physico-chemical characterization of composite indicated fluffy composite surface housing hydroxyl group, Si-O stretching and Si-O-Al vibration. These groups were due to aluminum-rich octahedral centers and Si-O bond stretching of silica and quartz. The X-ray diffractogram of composite depicted the presence of quartz, alumina, montmorillonite and hematite in the composite that played a significant role in adsorbing heavy metal ions. The Langmuir isotherm and pseudo-second-order kinetic model showed lower values of sum of square of residuals compared to other models. This showed that sorption of Cu²⁺, Ni²⁺ and Zn²⁺ ions followed monolayer coverage coupled with chemisorption mode. The composite possesses high adsorption capacity such as 61.86 mg/g for Cu²⁺ ions, 37.89 mg/g for Ni²⁺ ions and 10.48 mg/g for Zn²⁺ ions. The adsorption of metal ions onto composite surface was endothermic with increased randomness at the solid–liquid interface.
... The World Health Organization (WHO) reported the maximum permissible concentration of Ni in drinking water to be 0.07 mg/L. However, Ni concentrations ranging from 100 to 1000 μg/L have been recorded in mining areas, including water boiled with Ni-plated electric kettles (Berg et al., 2000;World Health Organization 2021). The primary site of Ni toxicity is the CNS (Genchi et al., 2020). ...
Article
Full-text available
This study evaluated nickel and aluminium-induced neurotoxicity, as a binary metal mixture. Twenty-eight male Sprague Dawley albino rats were weight-matched and divided into four groups. Group 1 (control) received deionized water. Group 2 and 3 received Aluminium (1 mg/kg) and Nickel (0.2 mg/kg) respectively, while Group 4 received Ni and Al mixture HMM three times a week orally for 90 days. Barnes maze tests was performed. Rats were sacrificed under pentobarbital anaesthesia, cerebral cortex and hippocampus were separated, and metal levels were measured using Atomic Absorption Spectroscopy (AAS). Malondialdehyde (MDA), catalase (CAT), glutathione content (GSH), superoxide dismutase (SOD), glutathione peroxidase (GPx), Brain Derived Neurotrophic Factor (BDNF), Nerve growth factor NGF, cyclo-oxygenase COX-2 and Acetylcholinesterase (AChE) were assayed using ELISA kits. Ni/Al binary mixture exposed rats showed a shorter latency period (though not significant) of 3.21 ± 1.40 s in comparison to 3.77 ± 1.11 (Ni only) and 3.99 ± 1.16(Al only). Ni/Al mixture gp had the lowest levels of Mg in both the hippocampus and frontal cortex when compared with the individual metals. In the hippocampus Al only exposed rats significantly showed p < 0.05 higher iron and Ca levels in comparison to Ni/Al mixture. Al alone significantly showed p < 0.05 lower levels of Fe but higher Ca than the Ni/Al mixture group. Exposure to Al only showed lower levels of BDNF in comparison to Ni/Al combination, whereas Ni/Al mixture gp had lower levels of NGF in comparison to the individual metals in the hippocampus. In the frontal cortex Ni only, group showed significantly lower BDNF in comparison to Ni/Al mixture whereas the mixture showed significantly lower NGF when compared with Al only group. There were higher levels of COX-2 in the Ni/Al mixture than individual metal treated rats in both hippocampus and frontal cortex. AChE levels in the Ni/Al mixture group was higher than Ni or Al only gps in the hippocampus whereas in the frontal cortex, Ni/Al exposed rats showed significantly lower AChE levels in comparison to Al only group. Ni, Al and Ni/Al mixture exhibited memory impairment by activation of oxidative stress, COX-2, and diminution of AChE, BDNF and NGF levels in cerebral cortex and hippocampus. The BDNF-COX-2 AChE signalling pathway may be involved in the neurotoxicity of Ni and Al.
... Other health issues associated with nickel intake in humans include dermatitis, nausea, chronic asthma, coughing, nephrotoxic, hemolysis and anaphylaxis. [10][11][12][13] Several physicochemical methods of nickel abatement from aqueous phase like floatation, membrane filtration, photocatalysis, electrochemical process, coagulation and flocculation [14] have been comprehensively practised in past but most of these methods are expensive, time-consuming and lead to the creation of secondary chemical sludge. The disposal of secondary chemical sludge in the environment is another critical issue. ...
Article
In the present investigation, physico-chemical characterization of composite material revealed the presence of fluffy surface structure with crystalline look and negatively charged surface functional groups. The study of adsorption flux by using dimensionless numbers φ (2.62), Nk (62.68) and λ (1.17 × 10⁻⁵) proved that adsorption of nickel ions on the surface of composite material was mostly film diffusion-limited with maximum surface area coverage coupled with weakened surface tension. The results of intraparticle diffusivity and Boyd plot model showed that at the onset of process, film diffusion was the primary mechanism involved and at the later stage intraparticle diffusion played a critical role as rate governing step. The values of film (0.65 × 10⁻⁸ cm² sec⁻¹) and pore diffusivity (1.8 × 10⁻¹² cm² sec⁻¹) coefficients showed that the adsorption process is dependent upon two different types of diffusion namely film and pore diffusion. Overall, transport and reshuffling mechanism had no substantial role in adsorption dynamics of nickel ions on the surface of composite material. Sorption isotherm and kinetics modeling showed higher values of regression coefficients for Langmuir isotherm (R² = 0.99) and pseudo-second-order kinetic model (R² = 0.99) compared to other models. This showed that sorption of nickel followed monolayer coverage with chemisorption at optimized process parameters like pH 6, biosorbent dose 0.1 g/L, temperature 50 °C, agitation rate180 rpm, adsorbate concentration100 mg/L and contact time 60 minutes. The positive value of enthalpy of adsorption (ΔH = + 10.41 kJ/mole) and entropy (ΔS = +58.19 J/mol K) showed that binding of nickel ions on the surface of the composite material was endothermic with improved randomness at solid-liquid interface. The negative value of (ΔG = −6.4 to -8.67 kJ/mol) showed spontaneous nature of nickel adsorption on composite material in the liquid phase.
... The daily consumption of nickel through food is estimated at 0.15-0.7 mg/day (CAC, 1995). Several researchers have reported that some quantities of nickel are always transferred into cooked food (Sunderman, 1989;CAC, 1995;Agarwal et al., 1997;Berg and Petersen, 2000). Ogidi et al. (2017) reported an increased level of nickel in tomatoes sauce which is attributed to leaching of the metal from the household aluminum cookwares used. ...
Article
Full-text available
The ingestion of aluminum from food containers such as cookware, cans, utensils and wrappings and its subsequent release into the environment is a growing public health concern. Aluminum is widely used in manufacturing cookware due to its malleability, high heat conductivity, light weight, durability, availability and affordability. This paper therefore gives a review of most relevant literatures on the benefits and risks of the various types of aluminum cookware in use, the composition and the public health effects of aluminum ingestion. Studies that reported the leaching of aluminum from cookware into food and environmental effects of aluminum leaching were also reviewed. In the developing countries, aluminum cookwares are produced from scrap metals and has been reported to leach harmful substances including heavy metals such as: nickel, arsenic, copper, cadmium, lead, and aluminum into cooked food. Several factors have been reported to increase the rate of leaching of metals from aluminum cookwares. Exposure to metals from aluminum cookware and the public health effects have not been well studied, hence, our recommendation for more studies to elucidate the health effect of this practice. This review also presents measures that can limit exposure to the risks that may arise from the use of aluminum cookware.
... The maximum permissible concentration of nickel in drinking water is 0.07 mg L −1 (WHO 2011). Indeed, nickel concentrations ranging from 100 to 1000 μg L −1 itre in nickel mining areas and water boiled with electric kettles with nickel plated elements have been reported (Berg et al., 2000;United Kingdom Drinking Water Inspectorate, 2002;EU 2004). The brain is a major target of nickel toxicity. ...
... The presence of nickel in aquatic environment can be significant due to its continuous release from the above cited sources. Nickel concentrations in the range 100-400 mg L À1 have been reported [6,7]. Nickel concentration lower than 0.1 and 3.0 mg/L have been prescribed as standards for drinking water and industrial effluents. ...
Article
Activated carbons obtained from two algal species, green and brown alga (GAAC and BAAC, respectively) were used as adsorbent precursors to remove nickel ion aqueous solution. The raw materials were impregnated in phosphoric acid at different concentrations and pyrolyzed at temperatures ranging from 400? to 800 °C. The BET model application to evaluate surface area resulted in values of 1400 and 1144 m²/g for the green and brown algae, respectively. The effect of parameters such as impregnation time, pH, carbon dose, and pyrolysis temperature on batch adsorption was also investigated. Selected samples were characterized by FT-IR spectroscopy, BET analysis, pHzpc, Methylene blue index and iodine number analyses. Isotherm constants from experimental data were calculated using Langmuir and Freundlich isotherms models. Respective coverage capacities of brown and green alga for Ni²⁺ were found to be 64.51 and 91.70 mg/g in comparison with 6.30 mg/g obtained for the commercial activated carbon. The pseudo-second order model best described Ni²⁺ kinetics. Heat adsorption values showed that adsorbent-adsorbate interactions are physical. Negative values of ΔG⁰ confirm the spontaneity of the adsorption process of Ni²⁺ for all considered adsorbents.
Article
Full-text available
This study involves the applicability of clam shell particles as an adsorbent for the removal of nickel from the water. Adsorption is a promising technology for the removal of heavy metals which have hazardous effects on the aquatic system and also on human beings. The aim of this work is to use clam seashells in the powder form for the removal of nickel. The Clam shell particles selected for the experiment has shown good adsorption capacities in the adsorption of Nickel. The mechanism of interaction between clam shell particles with Ni2+ was investigated using UV-Visible Spectrophotometer. Batch adsorption experiments were carried out to optimize the influencing parameters such as contact time, adsorbent dosage, pH, concentration and speed. The removal efficiency of nickel was found to be 90 % with a dosage of 0.50 g at a pH 6 for a contact time of 10 minutes with concentration of 50 mg/l at 150 rpm. Carbonaceous nanoparticles prepared through the Top-Down approach method were used to remove metal inorganic nickel ions in solution, by the adsorption of nickel ions. Nickel removal has been possible by using nano sized carbonaceous nanoparticle. The absorptivity of the flocs determined by the UV-Spectrophotometer shows that the process is efficient when dealing with aqueous nickel solution.
Article
Nickel (Ni) is a heavy metal that is both an environmental pollutant and a threat to human health. However, the effects of Ni on the central nervous system in susceptible populations have not been well established. In the present study, the neurotoxicity of Ni and its underlying mechanism were investigated in vivo and in vitro. Ni exposure through drinking water (10 mg Ni/L, 12 weeks) caused learning and memory impairment in mice. Reduced dendrite complexity was observed in both Ni-exposed mouse hippocampi and Ni-treated (200 μM, 72 h) primary cultured hippocampal neurons. The levels of histone acetylation, especially at histone H3 lysine 9 (H3K9ac), were reduced in Ni-exposed mouse hippocampi and cultured neurons. RNA sequencing and chromatin immunoprecipitation (ChIP) sequencing analyses revealed that H3K9ac-modulated gene expression were downregulated. Treatment with sodium butyrate, a histone deacetylase inhibitor, attenuated Ni-induced H3K9 hypoacetylation, neural gene downregulation and dendrite complexity reduction in cultured neurons. Sodium butyrate also restored Ni-induced memory impairment in mice. These results indicate that Ni-induced H3K9 hypoacetylation may be a contributor to the neurotoxicity of Ni. The finding that Ni disturbs histone acetylation in the nervous system may provide new insight into the health risk of chronic Ni exposure.
Chapter
The term systemic contact dermatitis is used to describe dermatitis in persons with contact sensitivity who are exposed to the hapten orally, rectally, transcutaneously, or intravenously or by inhalation. Well-known examples are eczematous eruptions seen after medicaments which have been administered to persons with contact sensitivity to the specific medicament. Other causes include the ingestion of the metals mercury, nickel, cobalt, and dichromate and plant allergens such as sesquiterpene lactones. Typical clinical features are flare-up reactions of previous dermatitis or previously positive patch test sites, widespread dermatitis, vesicular palmar, and/or plantar dermatitis and flexural dermatitis. Systemic contact dermatitis is rare compared with other types of contact dermatitis.
Article
Full-text available
Article
The EU is planning to drop the threshold value for nickel in drinking water down to 20 μg/1 (present German threshold value: 50 μg/1). Since ICP-MS-screenings of spot checks of water cookers were striking with respect to nickel, emissions of electrical water cookers have been investigated systematically within this study. As a result, water cookers with open heating coils are emitting relevant amounts of nickel into the water while it is brought to the boil. Investigation of eight preused water cookers with open heating coils revealed that the boiled water contained more than 50 μg Ni/1 in one case, more than 20 μg Ni/1 in two cases and, between 10 and 20 μg Ni/1 in two more cases, respectively. Removing of the lime by the aid of citric acid is increasing the nickel concentrations by a factor of up to 50 (max. 640 μg/1). A new device was checked in a long-term test. During standard use with tapwater. Ni concentrations fall below the detection limit of 5 μg Ni/1 (120 cooking events). However, after removing of the lime, 5 times of cooking were necessary in order to diminish the Ni concentrations below the limit of 20 μg/1. In the case of deionized water Ni conentrations remained between 94 und 190 μg/1. Health risk assessment: the intake of nickel with beverages made from hot water out of these cookers is in the range of 26 μg/day. Considering an alltogether dietary nickel intake of 130-170 (900) μg/day, this is not beyond the scope. However, according to the fact that nickel allergies (dermatitis) are very frequent (up to 13% of the population), this source should be limited or closed.
Article
The term systemic contact dermatitis is used to describe a dermatosis seen in some persons with delayed-type hypersensitivity to a hapten administered systemically. Immunohistochemical studies of flare-up reactions seen after oral challenge indicate that the mechanism includes delayed-type hypersensitivity, but clinical observations suggest that other mechanisms may also be involved. The clinical spectrum includes flares of previous sites of dermatitis, flexural dermatitis, the baboon syndrome, eruptive vesicular hand eczema, and a nonspecific maculopapular rash. General symptoms such as headache, malaise, and arthralgia occur occasionally. The reactivation of previously positive patch test sites is an important, apparently immunologically specific reaction seen only in experimental oral challenge studies. Systemic contact dermatitis caused by uncommon haptens (such as certain drugs) confirm the existence of this entity. Reactions to ubiquitous haptens (such as the metals nickel, cobalt, and chromium and common food flavorings) are more difficult to identify with certainty because it is difficult to control exposure to these haptens. Thus, the existence of clinically relevant cases of systemic contact dermatitis caused by these substances has been questioned. Delayed-type hypersensitivity to these ubiquitous haptens is so common that research in this area has important implications for many patients with allergic contact dermatitis.
Article
A provocation study was performed in twelve female patients with contact allergy to nickel and hand eczema of the pompholyx type. Intense handling of nickel-contaminated metal objects did not induce any visible eczematous activity. Oral administration of nickel in a double-blind test provoked an aggravation of the hand eczema in nine of the twelve patients, and in seven of the patients this was accompanied by secondary eruptions including outbreaks of earlier, healed eczema. The nickel dose given is probably in the upper limit of the presently known daily intake of the metal, but should be considered to be within the physiologic range. It is concluded that ingestion of small amounts of nickel may be of greater importance in maintaining the hand eczema than external contacts with the metal.
Article
For three items of foods (rhubarb, spinach, sauerkraut) the possible release of nickel (by means of AAS) was analysed, a release which may be caused by a possible corrosive effect of the concerned (oxalic-, milk-, vinegar-) acids (as well as common salt) within a normal domestic food-preparation. For this analysis stainless steel cooking pots of different manufacturers, various types and in a representative selection and quantity were taken into consideration; the detailled analyses were extended so far that clear statistical evaluations were possible. This method complies regulations for accuracy to determine traces of heavy metal. For all three analysed food-stuffs an identical result was reached that no nickel release from the stainless steel cooking pots into the food was found. Differences of the various stainless steel cooking pots with regard to their surfaces' quality or their origin (manufacturers) were not yielded, either. All detected concentrations of nickel are within the reach of the natural nickel content of the analysed food-stuffs and their amount is even much lower than other food's content of nickel. This leads up to the conclusion that the former view of a possible nickel release of stainless steel cooking pots has to be revised because these assumptions were not confirmed in the presented results of this analysis and therefore have to be regarded as not correct.
Article
The release of nickel to boiling water from new and used saucepans of different material was measured. No nickel was released from aluminium, teflon and enamel. Certain amounts of nickel were released from stainless steel, but only at acid pH.
Article
Ten women with vesicular hand eczema and delayed hypersensitivity to nickel were given 0.5 mg nickel supplements to their diets. The double-blind controlled supplements were given on Monday and Tuesday of each week for at least 1 month. The nickel supplement was lower than that used in previous studies, and only one subject had reproducible flaring of her vesicular dermatitis. We conclude that dietary restriction of nickel is not warranted based on nickel supplement studies, but nickel's role in hand eczema could be clarified by depleting nickel from body stores with chelating agents.
Article
Eleven nickel-hypersensitive patients with chronic, dyshidrotic hand eczema aggravated by oral challenge with 0.6–2.5 mg nickel were treated with 100 mg tetraethylthiuramdisulfide (Antabuse®) two to four times daily for 4–10 weeks. Nine of the patients experienced a flare of the dermatitis shortly after initiation of the treatment. During the course of treatment the dermatitis of seven patients, cleared, improvement was seen in two patients, and in two the dermatitis remained unchanged. Flare was seen in six patients when the treatment was discontinued. Seven patients experienced side effects such as fatigue, headache and dizziness. The treatment of four patients was discontinued due to side effects. During the treatment high levels of nickel were found in the serum and urine.
Article
A provocation study was performed in twelve female patients with contact allergy to nickel and hand eczema of the pompholyx type. Intense handling of nickle-contaminated metal objects did not induce any visible eczematous activity. Oral administration of nickle in a double-blind test provoked an aggravation of the hand eczema in nine of the twelve patients, and in seven of the patients this was accompanied by secondary eruptions including outbreaks of earlier, healed eczema. The nickle dose given is probably in the upper limit of the presently known daily intake of the metal, but should be considered to be within the physiologic range. It is concluded that ingestion of small amounts of nickel may be of greater importance in maintaining the hand eczema than external contacts with the metal.
Article
The distribution of allergic contact sensitization was assessed in an unselected population, living in western Copenhagen, Denmark. Ready-to-apply patch tests comprising 23 haptens and mixtures of haptens were mailed to 793 adults, and 567 (71.5%) participated. The tests were read 2 days after application. A total of 111 positive reactions were found among 86 (15.2%) subjects. Sensitization was less frequent in men than in women (11.5% versus 18.8%). Twenty out of the 23 chemicals in the test elicited positive reactions. Positive reactions to nickel and thiomersal were found most frequently (6.7% and 3.4%, respectively). Concerning the other chemicals the frequencies were 1.1% or less. Nickel sensitivity was less frequent in men than in women (2.2% versus 11.1%). The frequencies of sensitization probably represent minimum figures. Regulation of exposure needs to be considered in order to prevent primary sensitization and disease recurrences in those already sensitized.