Holme S A, Lever R S
University Department of Dermatology, Western Infirmary, Dumbarton Road, Glasgow G11 6NB, U.K.
Br J Dermatol. 1999 May;140(5):919-21. doi: 10.1046/j.1365-2133.1999.02826.x.
The incidence of positive circulating specific immunoglobulin E (IgE) antibodies to latex and evidence of clinical latex sensitivity appears to be increasing since its first description in 1979. Although heightened medical awareness may be a factor, exposure to latex products, particularly rubber gloves, has increased since the discovery of the human immunodeficiency virus (HIV). Atopic individuals are at greater risk of developing latex sensitivity. We identified seven children with atopic eczema who were known to have clinically significant latex allergy and examined the relationship of prior exposure to latex gloves. All children had significant serum levels of specific IgE to latex. Before developing clinical symptoms of latex allergy, all had been exposed to latex in the form of gloves during either inpatient or outpatient treatments of their skin. Exposure of atopic individuals to latex gloves could be a major risk factor for sensitization and could increase the incidence of serious reactions.
自1979年首次描述以来,针对乳胶的循环特异性免疫球蛋白E(IgE)抗体呈阳性的发生率以及临床乳胶敏感性的证据似乎一直在增加。尽管医疗意识的提高可能是一个因素,但自发现人类免疫缺陷病毒(HIV)以来,接触乳胶产品,尤其是橡胶手套的情况有所增加。特应性个体发生乳胶敏感性的风险更高。我们确定了7名患有特应性皮炎且已知有临床显著乳胶过敏的儿童,并研究了先前接触乳胶手套之间的关系。所有儿童的血清中针对乳胶的特异性IgE水平都很高。在出现乳胶过敏的临床症状之前,他们在住院或门诊治疗皮肤期间均接触过手套形式的乳胶。特应性个体接触乳胶手套可能是致敏的主要危险因素,并可能增加严重反应的发生率。