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< イラスト：石綿による健康障害 | メイン | 「ゼブラを見るなっ！」って、何よ？ >
2008.03.22 23:30 |  診療  |  その他（医療関連）  |  ミチバ  | 推薦数 : 3

汗疱　pompholyx→金属アレルギー

・本日、昼ごろ「金属アレルギーの検査をして欲しい」という電話があり、受付の人が、どうぞ来てくださいという対応をしてしまいました。金属アレルギーの検査で一般的なものは、パッチテストですが、当院ではできません。せっかく来ていただきましたが、申し訳ないですが、当院ではできませんとおことわりしました。その方は、歯科で金属を入れてから、手足の発疹がでてきたということです。皮膚科では、汗疱と診断され、ステロイドを塗っていたけど、治らないということで、歯科の治療との関係を疑われていました。じつは、皮膚科でパッチテストを「した」のですが、アレルゲンを貼付したけど、忙しくて判定には行かず、Dr.に電話で発赤しているのが５番目と６番目だけどと言ったら、金とパラジウムと言われたとのことです。歯科でいれた金属は、銀、金、パラジウム、水銀、銅、インジウム等が入っていたことを歯科で確認しました。ご本人とは、正確にもう一度皮膚科でパッチテストをして、診断を確定し、実際そうなら、歯科の金属を除去しましょうというお話をしました。

・汗疱の写真は、下のWebsiteをご覧下さい。

 http://www.dermnet.org.nz/dermatitis/pompholyx.html

 

・歯科の金属アレルギーによる皮膚症状は、①局所的な口の中の疾患：口内炎、口角炎、舌炎、口腔扁平苔癬（たいせん）と②全身性の疾患：全身性接触性皮膚炎、掌せき膿疱症、貨幣状湿疹、扁平苔癬、偽アトピー性皮膚炎、顔面湿疹。

☆これらの疾患をみたら、口の中の治療が原因かもしれないと考えましょう。

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初めまして。。
金属アレルギーで殆んどの金属をつけていないのに、水泡が出来たりしていたのですが･･･。歯の金属ですか。治らないはずですね。また、参考にさせて頂きます。。
お身体、ご自愛くださいませ。

＞とおりすがり様，はじめまして．私の記事が少しでも参考になったのなら，幸いです．金属アレルギー学会というところが，あります．私は，参加しておりませんが，これもまたご参考に．http://www.metalallergy.jp/index.html
今後とも宜しくお願いします．
written by とおりすがり / 2008.03.24 09:33

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