Estlander T, Jolanki R, Kanerva L
Contact Dermatitis. 1986 Jan;14(1):20-5. doi: 10.1111/j.1600-0536.1986.tb01147.x.
The number and nature of allergic occupational glove dermatoses were analysed. 542 cases of allergic contact dermatosis were diagnosed during 1974-1983. Amongst these, 68 (12.5%) were caused by rubber or plastic gloves. 2 patients had contact urticaria due to rubber gloves. Gloves were the main cause of occupational allergic rubber eczema, inducing 63 (58.3%) of 108 rubber eczema cases. 38 of them had positive reactions to rubber chemicals and glove material, 14 to glove material only, and 11 to rubber chemicals. 5 cases of allergic eczema from plastic gloves were diagnosed, all due to polyvinyl chloride (PVC). 2 cases of contact urticaria from natural rubber gloves were diagnosed by a provocation test. Epicutaneous testing with material of natural rubber gloves and rubber chemicals was negative. The present study shows that allergy to rubber gloves is usual, while allergy to plastic gloves is rare. Thus, plastic gloves should be used, when possible. Patch testing with protective gloves should always be used when patients develop prolonged hand dermatitis and where the possibility of glove eczema exists.
对过敏性职业手套皮肤病的数量和性质进行了分析。1974年至1983年期间诊断出542例过敏性接触性皮炎病例。其中，68例（12.5%）由橡胶或塑料手套引起。2例患者因橡胶手套出现接触性荨麻疹。手套是职业性过敏性橡胶湿疹的主要原因，在108例橡胶湿疹病例中引发了63例（58.3%）。其中38例对橡胶化学品和手套材料呈阳性反应，14例仅对手套材料呈阳性反应，11例对橡胶化学品呈阳性反应。诊断出5例由塑料手套引起的过敏性湿疹，均由聚氯乙烯（PVC）所致。通过激发试验诊断出2例由天然橡胶手套引起的接触性荨麻疹。用天然橡胶手套材料和橡胶化学品进行的皮肤斑贴试验为阴性。本研究表明，对橡胶手套过敏很常见，而对塑料手套过敏很少见。因此，应尽可能使用塑料手套。当患者出现持续性手部皮炎且存在手套湿疹可能性时，应始终对手套进行斑贴试验。
