{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T07:14:14Z","timestamp":1696317254346},"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>Zusammenfassung<\/jats:title><jats:p>Eine Metallallergie kann zu Unvertr\u00e4glichkeit von Metallimplantaten f\u00fchren. Vor Implantation sollte eine Epikutantestung aber nicht prophetisch\u2010prophylaktisch, sondern nur bei anamnestischen Hinweisen auf eine potenzielle Metallallergie erfolgen. Sofern nach Einsetzen von Metallimplantaten \u2013 speziell Endoprothesen \u2013 Komplikationen wie Schmerzen, Erg\u00fcsse, Hauterscheinungen, Bewegungseinschr\u00e4nkung oder Lockerung auftreten, empfiehlt sich bei Verdacht auf das Vorliegen einer Metallimplantatallergie nach orthop\u00e4disch\u2010chirurgischer Differenzialdiagnostik ein Epikutantest mit der Nickel\u2010, Cobalt\u2010, Chrom\u2010Pr\u00e4parationen enthaltenden DKG\u2010Standardreihe. Studien zum Einsatz von Metalllegierungspl\u00e4ttchen haben gezeigt, dass damit kein verl\u00e4sslicher Nachweis einer Metallallergie m\u00f6glich ist, und bei einer allergischen Epikutantestreaktion auf ein Metallpl\u00e4ttchen diese auch keinem konkreten Legierungs\u2010Metall der Pl\u00e4ttchen zugeordnet werden kann. Zudem besteht die Gefahr der unkritischen, breiten Testanwendung der leicht zug\u00e4nglichen Metalllegierungspl\u00e4ttchen. Aufgrund fehlenden Zusatznutzens gegen\u00fcber der Epikutantestung mit standardisierten Metallsalzpr\u00e4parationen empfehlen wir die Testung mit Legierungspl\u00e4ttchen nicht.<\/jats:p>","DOI":"10.1111\/ddg.30_12773","type":"journal-article","created":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T10:14:56Z","timestamp":1443262496000},"page":"1001-1005","source":"Crossref","is-referenced-by-count":0,"title":["DKG\u2010Stellungnahme zur Epikutantestung von Metalllegierungspl\u00e4ttchen bei Verdacht auf Metallimplantat\u2010Unvertr\u00e4glichkeit"],"prefix":"10.1111","volume":"13","author":[{"given":"Peter","family":"Thomas","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Dermatologie und Allergologie der Ludwig\u2010 Maximilians\u2010Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Geier","sequence":"additional","affiliation":[{"name":"Informationsverbund Dermatologischer Kliniken 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