GOLD ALLERGY
Key Allergens
Gold is a metal which is commonly used as a metal in jewellery, like rings, earrings and piercings.
Gold allergy has also been noted after procedures to have dental gold used in fillings.
24 carat gold jewellery has less than 0.1% other metals in the alloy. The amount of other metals increases with decreasing carat level, 18 carat gold has 25% other metals, 12 carat gold has 50% other metals and 9 carat gold is made up of more than 60% other metals. An allergy to a lower carat gold may be to another metal present.
If you suffer from contact dermatitis due to gold you may also need to avoid things labelled as containing gold sodium thiosulphate (GST), this is used as a medication for arthritis and in electronics and some medical devices.
White gold is made by mixing gold with other metals, often
nickel, which is a metal more commonly associated with contact allergic reactions. Rose gold jewellery is made by mixing gold with copper and/or silver, which could account for allergic reaction to this type of jewellery but not to classic gold.
Associated Syndromes
Cross Reactivity
Cross reactivity to
cobalt and nickel is commonly seen in patients who are allergic to gold.
Resources
Websites
DermNet NZ - Gold Allergy
Science Direct - Gold Toxicology
Healthline - Gold Allergy
Contact Dermatitis Institute - Gold Sodium Thiosulfate
DermNet NZ - Jewellery Allergy
Articles and Journals
Results of patch testing to the European Baseline Series in adult patients in Turkey: a five-year experience at a tertiary reference center, 2024
Frequency and clinical relevance of contact allergy in dental patients, 2023
Pseudolymphoma induced by gold after patch testing: Dermoscopic features, 2023
Analysis of patch testing results in patients with contact dermatitis in Istanbul, Turkey, from 2012 to 2022, 2023
A review of patch-test data over the period of eight years in the allergy and immunology department in Qatar, 2023
Is Allergy to Titanium Bone Fixation Plates a Problem? 2022
Kounis Syndrome as a Result of Anaphylactic Reaction to Gold Dust: A Case Report, 2019
Metal allergy in total-joint arthroplasty, 2018
Gold Contact Allergy: Clues and Controversies, 2015
Metal Allergy and Systemic Contact Dermatitis: An Overview, 2012
Contact Allergy to Gold is Correlated to Dental Gold, 2002
Dental gold alloys and contact allergy, 2002
Gold allergy in North America, 2001
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