Evidence map›Paper›PMID 40150947›Full record

ArticleActa dermato-venereologica2025

Clinical Relevance of Contact Allergy to Gold Sodium Thiosulphate in Fibromyalgia.

Katharine Hopkins, Annarita Antelmi, Jakob Dahlin, Karin Olsson, Cecilia Svedman, Jacqueline Åstrand, Peter Olsson, Magnus Bruze

Abstract read
In one paragraph

Article in Acta dermato-venereologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katharine HopkinsDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden; Department of Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden. katerhopkins@gmail.com.ORCID 0009-0004-3661-575X
Annarita AntelmiDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.ORCID 0000-0002-5067-2564
Jakob DahlinDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.
Karin OlssonDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.
Cecilia SvedmanDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.ORCID 0000-0003-4797-0269
Jacqueline ÅstrandDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.
Peter OlssonDepartment of Clinical Sciences, Malmö, Rheumatology, Lund University, Malmö, Sweden; Department of Rheumatology, Skåne University Hospital, Malmö, Sweden.ORCID 0000-0001-7318-833X
Magnus BruzeDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.ORCID 0000-0002-2919-3227

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibromyalgia is a chronic syndrome characterized by pain, fatigue, and cognitive disturbances. The increased prevalence of contact allergy to gold in individuals with fibromyalgia when compared with the general population has previously been described. Gold contact allergy can manifest as a systemic contact dermatitis, with cutaneous and extracutaneous manifestations presenting upon systemic administration of gold. This study aimed to establish whether gold allergy is of significance in the fibromyalgia population. Prior to patch testing with the Swedish baseline series and an extended dental series, 119 females with fibromyalgia answered questionnaires including details of past medical history, dental history, and previous cutaneous and mucous membrane intolerance to metals. Prevalence of allergy to gold sodium thiosulphate (2.0% and 5.0%) was 33.6% (40 individuals). There was a statistically significant overrepresentation of gold allergy among individuals who experienced cutaneous symptoms upon direct contact with gold (p = 0.010). Contact allergy to gold was more frequent among patients with oral symptoms (p = 0.024). This study demonstrates concordance between reported cutaneous symptomatology related to gold exposure and gold allergy in the fibromyalgia population. Whether individuals with oral symptoms and gold allergy have objective oral clinical findings and relevant gold exposure is the focus of ongoing study.

Indexed as

Dermatitis, Allergic ContactFibromyalgiaGold Sodium ThiomalateAdultAgedClinical RelevanceFemaleHumansMiddle AgedPatch TestsPrevalenceRisk FactorsSurveys and QuestionnairesSwedenGold Sodium Thiomalate

Identifiers

PMID40150947
PMCPMC11971835

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.