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Pediatr Dermatol. 2011 May-Jun;28(3):335-6. doi: 10.1111/j.1525-1470.2011.01235.x. Epub 2011 Mar 3.

Systemic contact dermatitis to nickel present in cocoa in 14-year-old boy.

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Dermatology Unit, Center of Occupational Allergy and Environmental Health, Nofer Institute of Occupational Medicine, Lodz, Poland.


Systemic contact dermatitis can be elicited in nickel sensitive individuals by oral nickel exposure from food with high content of this metal, such as cocoa. We present a case report of a nonatopic teenager who developed allergic contact dermatitis due to nickel, cobalt, copper, and palladium, but exacerbations of skin lesions were mainly related to cocoa consumption.

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