Intended for healthcare professionals

Letters Allergy risk from new coins

Allergy risk from Royal Mint’s new nickel plated steel coins should be publicly assessed

BMJ 2012; 344 doi: (Published 19 April 2012) Cite this as: BMJ 2012;344:e2730
  1. Danielle T Greenblatt, dermatology SpR1,
  2. David J Gawkrodger, consultant dermatologist2,
  3. Ian R White, consultant dermatologist1
  1. 1St John’s Institute of Dermatology, Guy’s and St Thomas’ NHS Foundation Trust, London SE1 7EH, UK
  2. 2Royal Hallamshire Hospital, Sheffield S10 2JF, UK
  1. daniellegreenblatt{at}

The Treasury is introducing Royal Mint nickel plated (aRMour) coins to cut costs. However, consideration must be given to the potential costs to health from skin disease related to nickel exposure (allergic contact dermatitis and hand dermatitis); financial implications to the NHS for clinical management of affected people; and other taxpayer costs (inability to work because of hand dermatitis related to nickel allergy). Considerable evidence supports these concerns,1 2 3 4 5 which have …

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