Sussman G L
University of Toronto, Ontario, Canada.
Allergy Proc. 1992 Mar-Apr;13(2):67-9. doi: 10.2500/108854192778878890.
Latex has been identified as a potent and significant allergen. Atopic medical and dental personnel who regularly use latex gloves and patients with chronic latex exposure are at increased risk of latex allergy. If this allergy is unrecognized, anaphylactic shock can occur as a result of mucosal latex absorption at the time of surgery or procedure. Use of a nonlatex glove can prevent this potentially fatal event. Latex anaphylaxis also can occur from absorption through disrupted skin in occupationally exposed patients. Further prospective studies are needed to look at the significance of a positive latex skin test, particularly in the history-negative population. Only then can we define appropriate screening procedures.
乳胶已被确认为一种强效且重要的过敏原。经常使用乳胶手套的特应性医护人员以及长期接触乳胶的患者发生乳胶过敏的风险更高。如果未识别出这种过敏，手术或操作时黏膜吸收乳胶可能会导致过敏性休克。使用非乳胶手套可预防这一潜在致命事件。职业暴露患者破损皮肤吸收乳胶也可能发生乳胶过敏反应。需要进一步开展前瞻性研究，以探讨乳胶皮肤试验阳性的意义，尤其是在病史阴性人群中。只有到那时，我们才能确定合适的筛查程序。
