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However, it is well known by dermatologists specialized in occupational skin diseases, and by their nickel\u2010allergic patients, that hand eczema in cashiers and other professionals who handle coins may be caused or aggravated by nickel release from coins. In this review, we present evidence from past studies showing that nickel\u2010containing coins can indeed pose a risk for those who handle them. For protection of the health of consumers, cashiers, and other workers who handle coins, it is suggested that coins without nickel release should be used as a substitute for the high nickel\u2010releasing coins currently in widespread use. The key risk factor in this situation is the ability of metal alloys in coins to release nickel and contaminate the skin after repeated contact from coin handling.<\/jats:p>","DOI":"10.1111\/j.1600-0536.2012.02127.x","type":"journal-article","created":{"date-parts":[[2012,7,5]],"date-time":"2012-07-05T12:16:36Z","timestamp":1341490596000},"page":"3-14","source":"Crossref","is-referenced-by-count":64,"title":["Coin exposure may cause allergic nickel dermatitis: a review"],"prefix":"10.1111","volume":"68","author":[{"given":"Jacob P.","family":"Thyssen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Gawkrodger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian 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