Ann Dermatol.  2010 Feb;22(1):88-90. 10.5021/ad.2010.22.1.88.

Fiddler's Neck Accompanied by Allergic Contact Dermatitis to Nickel in a Viola Player

Affiliations
  • 1Department of Dermatology, Hanyang University College of Medicine, Seoul, Korea. romio@hanyang.ac.kr

Abstract

"Fiddler's neck" is an irritant contact dermatitis that frequently affects violin and viola players. The etiology of the skin changes associated with this condition are probably attributable to a combination of factors--including increased pressure, friction, poor hygiene, and excessive perspiration. Clinically, the lesions generally consist of a localized area of lichenification on the left side of the neck just below the angle of the jaw. Herein, we report a case of fiddler's neck in a viola player, attended by allergic contact dermatitis to the nickel in the metal fixtures of a viola. We hope that our case report draws the attention of dermatologists toward this, and many other skin problems that affect musicians.

Keyword

Allergic contact dermatitis; Fiddler's neck; Viola player

MeSH Terms

Dermatitis, Allergic Contact
Dermatitis, Contact
Friction
Hygiene
Jaw
Neck
Nickel
Skin
Viola
Nickel
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