Sensitized individuals may show a skin contact allergy to nickel known as a contact dermatitis. Highly sensitized individuals may also react to foods with high nickel content. Sensitivity to nickel may also be present in patients with pompholyx. Nickel is the top confirmed contact allergen worldwide, partly due to its use in jewelry for pierced ears. Nickel allergies affecting pierced ears are often marked by itchy, red skin. Many earrings are now made without nickel or with low-release nickel to address this problem. The amount allowed in products that contact human skin is now regulated by the European Union. In 2002, researchers found that the nickel released by 1 and 2 Euro coins was far in excess of those standards. This is believed to be the result of a galvanic reaction. Nickel was voted Allergen of the Year in 2008 by the American Contact Dermatitis Society. In August 2015, the American Academy of Dermatology adopted a position statement on the safety of nickel: "Estimates suggest that contact dermatitis, which includes nickel sensitization, accounts for approximately $1.918 billion and affects nearly 72.29 million people."