Background Metal hypersensitivity, mostly documented in prosthesis implantation, is a rare complication after arthroplasty. Nasal congestion. Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email a link to a friend (Opens in new window), Two Level Cervical Disc Replacement (Mobi-C). ASTM = American Society for Testing and Materials. Accessibility Federal government websites often end in .gov or .mil. This review provides an update of the current knowledge in this field and should be valuable to health care providers who manage patients with conditions related to this field. Please enter a Recipient Address and/or check the Send me a copy checkbox. These cookies do not store any personal information. "Metal allergies are similar to any other type of allergic reaction," says Dr. Anthony. *List is not exhaustive. Disclaimer. Abi El Cheikh T, Vargas IM, Alili E, Tiesenga F. Cureus. Co-Cr-Mo = cobalt-chromium-molybdenum; LCS = low contact stress; MOM = metal-on-metal; PMMA = polymethylmethacrylate; pts = patients; Ref. Allergy to a metal screw is very rare, so consider other issues first. We also use third-party cookies that help us analyze and understand how you use this website. A rash after surgery may be due to contact with irritants or an allergic reaction to a medication. In fact, a certain case report about a woman who was suffering from abdominal pain and other symptoms was found to be because of titanium hypersensitivity. 2, 2020. Case presentation We present the case of a 52-year-old female patient with reoccured low back pain and sciatica after posterior lumbar decompression and fusion (PLDF) for her lumbar . Metal hypersensitivity and total knee arthroplasty. *List may not be exhaustive. Allergic contact dermatitis caused by titanium screws and dental Chronic eczema beginning weeks or months after the implant, 2. *List may not be exhaustive. But sometimes a child can have what's known as anaphylaxis . They may want to consider an implant made of different materials, such as titanium. doi:10.1016/j.jaip.2020.12.068, Wang Y, Dai S. Structural basis of metal hypersensitivity. Clinically, diagnosis of metal implant allergy is a process of excluding differential diagnoses, specifically infection. Many types of metallic implants can cause cutaneous allergic reactions, from orthopedic and dental implants to cardiac stents and pacemakers. She was diagnosed with pneumonia twice followed by two sinusitis episodes from January 2020 to March 2020. She also reported low-grade fever, nausea, vomiting, joint pain, bloody diarrhea, and inability to keep her food down. Multiple cardiac and neurostimulatory devices are constructed of metals and adhesives that can be sensitizing in some individuals. The striking features of titanium include its stability with increased resistance to corrosion and its biocompatibility to diverse materials [3]. 2019;10(2):63-70. doi:10.5312/wjo.v10.i2.63, Kahlenberg CA, Nwachukwu BU, McLawhorn AS, Cross MB, Cornell CN, Padgett DE. Iodine is essential for thyroid function, and an allergy to it would be life . Hypersensitivity Reactions to Metallic Implants Due to ongoing chronic symptoms, CT scan incidentally revealed a portion of a lodged pigtail catheter in the cecum. Allergy to Surgical Implants - PubMed This patient is concurrently found to have a retained pigtail catheter in the cecum discovered incidentally through radiology. All of her symptoms were initially suspected due to the infections mentioned above, and she was placed on various antibiotic therapy regimens consisting of ciprofloxacin, amoxicillin/clavulanate potassium, and sulfamethoxazole/trimethoprim. But while reactions to surgical hardware and implants are rare, they do sometimes occur. Iodine Allergy: What You Should Know - Verywell Health This case highlights the variable presentation of titanium allergy that clinicians should be vigilant for. Allergy in total knee replacement surgery: Is it a real problem? When they do occur, titanium allergy symptoms can range from mild to severe and can include: loosening of the implants (or implant failure) rash or hives. FOIA Titanium is extensively used in devices such as dental implants, pacemakers, and body piercing. It helps to understand what happens when your body comes in contact with a metal to which you're allergic. A few studies have also reported titanium as a potential allergen. Verywell Health's content is for informational and educational purposes only. Complications of Biodegradable Materials: Anchors and Interference Screws and transmitted securely. ALVAL = aseptic lymphocytic vasculitisassociated lesions; Co = cobalt; Cr = chromium; CT = computed tomography; F = female; M = male; MOM = metal-on-metal; Ref. A case by Little et al. 2010 Mar;61(3):255-62; quiz 263-4. doi: 10.1007/s00105-009-1907-x. By clicking Accept, you consent to the use of ALL the cookies. The authors declare that they have no competing interests. To complicate things, patients may also develop delayed-type hypersensitivity reactions to metals (ie, in-stent restenosis, prosthesis loosening, inflammation, pain, or allergic contact dermatitis) following the insertion of intravascular stents, dental implants, cardiac pacemakers, or implanted gynecologic devices. However, several studies have reported cases of metal allergy caused by titanium-containing materials. If you think you may have a medical emergency or a major medical problem, call your doctor or 911 immediately. He exhibited allergic symptoms (eczema) after orthopedic surgery. ABG = Anatomique Benoist Giraud; Co = cobalt; Cr = chromium; F = female; Fe = iron; M = male; Mo = molybdenum; Ni = nickel; OA = osteoarthritis; PCA = porous coated monatomic; Ref. Some potential symptoms of sinusitis include: pain, tenderness, or swelling around the cheeks, eyes, or forehead green or yellow nasal mucus a blocked nose a reduced sense of smell sinus. Hosoki M, Nishigawa K, Tajima T, Ueda M, Matsuka Y. J Prosthodont Res. 7373 France Ave S, Suite 408 It is important to diagnose RFB promptly and remove it as soon as possible due to life-threatening complications such as gastrointestinal bleeding, intestinal obstruction, and perforation [13]. Rushing GD, Goretsky MJ, Gustin T, Morales M, Kelly RE Jr, Nuss D. J Pediatr Surg. Careers. Eleven months prior, the patient underwent cholecystectomy, or surgery to remove the gallbladder, where six titanium surgical clips were used. J Allergy Clin Immunol Pract. However, these medical devices have been associated with certain injuries and complications lately. Basko-Plluska JL, Thyssen JP, Schalock PC. chronic inflammation in the gums around the implant. These assessments do not indicate that Dr. Sinicropi has performed these specific surgeries. Usually retained foreign bodies are found after complaints such as pain, infections and a palpable mass. After the diagnosis of RFB, the preferred approach is to remove the RFB laparoscopically [13]. M. Goutam, C. Giriyapura, S. K. Mishra, and S. Gupta, Titanium allergy: a literature review, Indian Journal of Dermatology, vol. Please confirm that you would like to log out of Medscape. Surgical realignment, metal plates & screws (made . Unable to load your collection due to an error, Unable to load your delegates due to an error.