Evidence map›Paper›PMID 41994619›Full record

ReviewAmerican journal of medicine open2026

Systemic Nickel Allergy Syndrome.

Allison Freeman, Ashleigh Letterman, Jeffrey Boos, Scott Jackson

Abstract readReview
In one paragraph

Review in American journal of medicine open, 2026. 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. Review
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

4 authors.

Allison FreemanAlice L. Walton School of Medicine, Bentonville, Ark.
Ashleigh LettermanAlice L. Walton School of Medicine, Bentonville, Ark.
Jeffrey BoosBrigham and Women's Hospital, Boston, Mass.
Scott JacksonAlice L. Walton School of Medicine, Bentonville, Ark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic nickel allergy syndrome (SNAS) is characterized by both cutaneous and extracutaneous symptoms following systemic exposure to nickel, most commonly through the ingestion of nickel-containing foods in individuals sensitized to nickel via skin contact. Patients with SNAS present with dermatitis in addition to gastrointestinal, neurologic, and other extracutaneous symptoms. The most widely implemented treatment is the low-nickel diet. The present authors saw a patient with a history of allergic contact dermatitis to nickel experience resolution of hand dermatitis, chronic pain (diagnosed as fibromyalgia), and chronic diarrhea (diagnosed as irritable bowel syndrome) with a low-nickel diet after just 1 month. She was diagnosed with SNAS, and this intriguing case prompted the review that follows.

Indexed as

AllergyDermatitisDietFibromyalgiaIrritable bowel syndromeNickel

Identifiers

PMID41994619
PMCPMC13080504

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.