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What is your approach to evaluating patients with a history of self-reported metal allergy prior to an upcoming metal implant?

Do you patch test everyone or do certain clinical factors push you toward testing for a select few? Do you evaluate multiple metals or only those in the anticipated device to be implanted?
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What is your approach to evaluating patients with a history of self-reported metal allergy prior to an upcoming metal implant?

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1 Answer
Mednet MemberInvited Expert
Allergy & Immunology · Children's Hospital Los Angeles
Answered on

The large majority of the time, patients are referred to us by surgical subspecialists for the specific purpose of ruling out metal allergy before a procedure. If a surgical specialist makes such a referral, we will patch test no matter the history, if only for the comfort of the surgeon. But once t...

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