Moneret-Vautrin D A, Debra J C, Kohler C, Stringini R, Kanny G, Guillaumot A, Buthmann D
Department of Medicine D, C.H.U. de Brabois, Vandoeuvre-les-Nancy, France.
Rhinology. 1994 Dec;32(4):198-202.
Occupational allergic rhinitis to proteins is increasing in importance. Two cases of latex-induced rhinitis are reported in a nurse's aid and a laboratory technician. A crossed food allergy is quoted. Positive prick-tests and specific IgE to latex have been demonstrated in both cases. A double-blind nasal challenge test has been performed with the rinse fluid from a brand of latex gloves. Clinical manifestations with endoscopic modifications of the nasal mucosa have been observed. A rise in nasal secretory eosinophilia has been demonstrated. The authors wish to draw attention to this new aetiology of occupational rhinitis insofar as it precedes the onset of work-related asthma as shown in one case. The eviction of wearing gloves is not sufficient as latex allergens are airborne. The eviction of ordinary latex gloves must be extended to all other workers in the same place and the use of powder-free gloves is advisable.
职业性蛋白质过敏性鼻炎的重要性日益增加。报告了1例护士助理和1例实验室技术员发生乳胶诱导性鼻炎的病例。文中引用了交叉食物过敏的情况。两例均证实对乳胶进行点刺试验呈阳性且存在特异性IgE。使用某品牌乳胶手套的冲洗液进行了双盲鼻激发试验。观察到了伴有鼻黏膜内镜改变的临床表现。证实鼻分泌物嗜酸性粒细胞增多。作者希望引起人们对这种职业性鼻炎新病因的关注，因为在1例病例中显示它先于与工作相关的哮喘发作。仅避免戴手套是不够的，因为乳胶过敏原可通过空气传播。必须将普通乳胶手套的避免使用范围扩大到同一地点的所有其他工人，建议使用无粉手套。
