A 78-year-old man with no history of allergy, underwent endovascular aortic repair for abdominal aortic aneurysm rupture. Postoperatively, he had low-grade fever and persistently raised white blood cell counts, but tests showed no infection. A skin rash appeared on the trunk and upper arms; we suspected a drug allergy. Despite withdrawal and/or change of medications, the symptoms remained. Finally, a patch test for nickel showed a strongly positive result. Oral prednisone 5 mg·day−1 was started, and the clinical findings resolved thereafter. No recurrence of allergy, infection, or exacerbation of the treated abdominal aortic aneurysm was noted at the 2-year follow-up.
AliağaoğluCTuranHErdenIet al.Relation of nickel allergy with in-stent restenosis in patients treated with cobalt chromium stents. Ann Dermatol2012; 24: 426–429.
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LaiDWSaverJLAraujoJAReidlMTobisJ. Pericarditis associated with nickel hypersensitivity to the Amplatzer occluder device: a case report. Catheter Cardiovasc Interv2005; 66: 424–426.
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GuerraAKirkwoodM. Severe generalized dermatitis in a nickel-allergic patient with a popliteal artery nitinol stent. J Vasc Surg Cases Innov Tech2017; 3: 23–25.
