Zusammenfassung
Nickel, Chrom und Kobalt sind klassische Auslöser kutaner Kontaktallergien. Metallimplantatassoziierte allergische Reaktionen können als lokale oder disseminierte Ekzeme, Wundheilungsstörungen, Urtikariaschübe oder möglicherweise als Implantatlockerung auftreten. Allerdings scheinen diese Reaktionen im Vergleich zu den kutanen Sensibilisierungsraten selten. Zur Abklärung dienen Anamnese, Epikutantest und Analyse von periimplantärem Gewebe. Der Lymphozytentransformationstest bleibt aufgrund der schwierigen Relevanzbewertung umstritten. Eine erweiterte Datensammlung zu Patienten mit allergiebedingter Implantatunverträglichkeit soll zusammen mit Untersuchungen zu Mechanismen der periimplantären Unverträglichkeitsreaktion die Grundlage für weiterführende Empfehlungen liefern.
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Thomas, P., Summer, B. (2006). Metallimplantatallergie. In: Ossäre Integration. Springer, Berlin, Heidelberg . https://doi.org/10.1007/978-3-540-35687-5_10
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DOI: https://doi.org/10.1007/978-3-540-35687-5_10
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