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Nickel Allergy: Complete Guide to Safe Jewelry Metals and Alternatives

Nickel allergy affects up to 17% of women and 3% of men. This guide covers which jewelry metals are safe, which to avoid, and how to test your jewelry for nickel content at home.

Dr. Lisa Thompson

Dr. Lisa Thompson

AI Dermatologist

|
8 min read
|April 4, 2026
Medically reviewed by Dr. Lisa Thompson · Editorial Policy

Nickel Allergy: Safe Jewelry Metals and Alternatives

Nickel is the most common cause of allergic contact dermatitis worldwide, affecting an estimated 17% of women and 3% of men. Once sensitized, even brief contact with nickel-containing metals can trigger redness, itching, and blistering.

Metals That Commonly Contain Nickel

  • White gold — often contains nickel as a whitening agent
  • Stainless steel — most grades contain 8-10% nickel
  • Costume jewelry — frequently coated over nickel base metals
  • Brass and bronze — may contain nickel alloys

Truly Hypoallergenic Metals

  • Pure titanium — no nickel; best choice for sensitive skin
  • Niobium — excellent for piercings
  • Platinum — premium nickel-free option
  • 24k gold — pure gold; 18k+ is generally safe
  • Sterling silver — safe for most people

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Tags

nickel allergyjewelrycontact dermatitishypoallergenicskin reactionmetals

Medical Disclaimer: This article is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or other qualified health provider with any questions you may have regarding a medical condition.

About the Author

Dr. Lisa Thompson

Dr. Lisa Thompson

AI Dermatologist

Dr. Lisa Thompson is Caraly's dermatology educator and one of the platform's most-read specialists, with over 150 published articles on skin health, common skin conditions, sun protection, wound healing, and evidence-based skincare. Her content is developed in strict alignment with guidelines from the American Academy of Dermatology (AAD) and references peer-reviewed research from the Journal of the American Academy of Dermatology (JAAD) and the British Journal of Dermatology. Dr. Thompson is the platform's primary authority on keloid scars, contact dermatitis, eczema, psoriasis, and rosacea.

Dr. Lisa Thompson

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Sources & References

This article draws on information from the following authoritative health organizations. Always consult a qualified healthcare professional for personal medical advice.

  1. 1AAD. Nickel allergy
  2. 2Thyssen JP, et al. (2007). The epidemiology of contact allergy in the general population. Contact Dermatitis, 57(5), 287-299.