{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T07:14:15Z","timestamp":1696317255782},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T00:00:00Z","timestamp":1443225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Intolerance reactions to metal implants may be caused by metal allergy. However, prior to implantation, \u2018prophetic\u2019\/prophylactic patch testing should not be performed. Pre\u2010implant patch testing should only be done to verify or exclude metal allergy in patients with a corresponding history. In case of implant\u2010related complications \u2013 in particular following replacement arthroplasty \u2013 such as pain, effusion, skin lesions, reduced range of motion or implant loosening, orthopedic causes should be ruled out first. Workup of suspected metal implant allergy should then be done using the DKG standard series, which includes nickel, cobalt, and chromium preparations. Various studies assessing the usefulness of metal alloy discs for patch testing have shown this particular approach to be ineffective with respect to providing reliable information on metal allergy. Any positive reaction in such tests cannot be assigned to a specific metal contained within the alloy. Furthermore, there is a risk of broad and indiscriminate use of these readily available discs. Accordingly, given the lack of additional benefit compared to patch testing with standardized metal salt preparations, we do not recommend patch testing with metal alloy discs.<\/jats:p>","DOI":"10.1111\/ddg.12773","type":"journal-article","created":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T10:14:56Z","timestamp":1443262496000},"page":"1001-1004","source":"Crossref","is-referenced-by-count":5,"title":["DKG statement on the use of metal alloy discs for patch testing in suspected intolerance to metal implants"],"prefix":"10.1111","volume":"13","author":[{"given":"Peter","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Dermatology and Allergology of the Ludwig\u2010Maximilians University Munich  Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Geier","sequence":"additional","affiliation":[{"name":"Information Network of Departments of Dermatology (IVDK) Institute at the University of G\u00f6ttingen  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