Patient handout · Skin Care
An allergic reaction to jewelry usually occurs when your skin comes into contact with certain metals present in your jewelry or piercings. This reaction is commonly known as contact dermatitis, and its main symptom is a red, itchy rash. While this rash isn’t contagious or life-threatening, it can be very uncomfortable.
Most jewelry allergies are caused by nickel or cobalt. These are used as the base metals for many inexpensive pieces of jewelry. It takes repeated or prolonged exposure to these items before a person develops a nickel allergy, and patients with sensitive skin should avoid products containing nickel and cobalt as much as possible.
People can be allergic to any metal, but nickel and cobalt allergies are the most common. The exact cause of this allergy is unknown, but it may develop due to your immune system’s sensitivity to nickel.
Ordinarily, your immune system will only fight off bacteria, viruses, and other toxic substances. However, a nickel allergy indicates that your immune system sees this metal as a harmful substance as well. It may take repeated exposure before your body develops an adverse reaction to nickel, but once it happens your immune system will always respond negatively whenever you come into contact with it.
Aside from wearing cheap jewelry, here are other factors that may increase the risk of developing contact dermatitis:
A jewelry allergy typically begins 24 to 48 hours after being exposed to the item. These symptoms may last for as long as 2 to 4 weeks, and will usually only appear where the metal came into contact with the skin.
The symptoms of a jewelry allergy may resemble a reaction to poison ivy. More specifically, the symptoms that result may include:
When wearing cheap jewelry results in rashes, the rash may become infected with bacteria. This may happen when the skin becomes moist, or if it becomes broken and raw due to scratching. It’s best to see a skin specialist for treatment if your skin becomes crusted, yellow, weeps, or smells odd. The infected rash will not improve until it’s treated.
There is no permanent cure for an allergy caused by metal. The best thing that can be done is to avoid certain metals, especially those found in jewelry. Here are some steps you may take to help treat your skin after an allergic reaction:
When you are diagnosed with some form of allergy to metal, it’s essential to stay away from jewelry and other accessories containing that metal.
However, this is easier said than done as many jewelry products contain metals like nickel. Silver or gold plated jewelry contain nickel alloys underneath. Any gold jewelry less than 18K, such as white gold, will also contain a mixture of metals to provide structure to soft, pure gold.
If you’re allergic to a specific metal, be sure to check that the jewelry you plan to buy does not contain that metal. Look for hypoallergenic jewelry such as titanium, platinum, rhodium, palladium and 18K gold. Avoid buying jewelry plated with another metal or made of mixed metals like white gold.
Some stores offering hypoallergenic jewelry include:
https://tinilux.com/collections/all-hypoallergenic-earrings
https://sensitively-yours.com/
https://www.simplywhispers.com/
Creating barriers will help you reduce the risk of an allergic reaction while handling metals. For example, use gloves if you’re working with metals. You can also purchase hypoallergenic creams (like NIK-L-BLOK barrier cream) specifically made to block the contact of metals with the skin.
Test your metal items to see if they contain nickel or cobalt. See below for testing kits.
Appointments available at Hillside Medical Clinic in Victoria and Kensington Medical Clinic in Burnaby.