Knudsen B B, Menné T
Dermatologisk afdeling K, Amtssygehuset i Gentofte.
Ugeskr Laeger. 1995 Aug 21;157(34):4682-3.
Three cases of immediate type hypersensitivity to natural rubber latex are described. Unexpected, severe reactions were seen in two patients. One patient had used rubber gloves regularly and experienced moderate local symptoms. She had to change job because of generalised urticaria and asthma due to airborne latex-allergens in the workplace. The diagnosis of latex allergy may not always be obvious, and negative or weak IgE-RAST can be seen in patients who have experienced severe allergic reactions after latex exposure. Cross reactions to banana, avocado, kiwi and possibly other fruits and plants may be seen. Medical staff using latex gloves should be aware of the risk of severe adverse reactions in their patients due to latex allergy. Gloves made from vinyl or other synthetic materials (i.e. Elastyren or Tactylon) can be used in these cases.
本文描述了三例对天然橡胶乳胶的速发型超敏反应。两名患者出现了意想不到的严重反应。一名患者经常使用橡胶手套，出现中度局部症状。由于工作场所空气中的乳胶过敏原导致全身性荨麻疹和哮喘，她不得不更换工作。乳胶过敏的诊断可能并不总是显而易见的，在接触乳胶后发生严重过敏反应的患者中可能会出现阴性或弱阳性IgE-RAST。可能会出现对香蕉、鳄梨、猕猴桃以及其他可能的水果和植物的交叉反应。使用乳胶手套的医务人员应意识到患者因乳胶过敏而出现严重不良反应的风险。在这些情况下，可以使用由乙烯基或其他合成材料（如Elastyren或Tactylon）制成的手套。
