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天然橡胶乳胶过敏:一个日益严重的问题。

Allergy to natural rubber latex: a growing problem.

作者信息

Turjanmaa K

机构信息

Department of Dermatology, Tampere University Hospital, Finland.

出版信息

Ann Med. 1994 Aug;26(4):297-300. doi: 10.3109/07853899409147905.

DOI:10.3109/07853899409147905
PMID:7946247
Abstract

Immediate, IgE-mediated allergy to natural rubber latex has recently been found to be responsible for contact and generalized urticaria, protein contact dermatitis, rhinitis, asthma and even fatal anaphylactic reactions. The proteins present in latex from the rubber tree (Hevea brasiliensis) can still persist in rubber end-products where they are capable of sensitizing exposed users. Atopic people and those with hand eczema are prone to become sensitized by natural rubber latex, which often causes occupational problems in connection with the use of protective gloves. But people blowing up balloons and those using condoms are also at risk if their symptoms are misinterpreted. Severe adverse reactions caused by rubber products in medicare cannot be prevented if the diagnosis has not been made before operations and medical examinations. So the most important task today is to develop reliable and safe methods for diagnosing natural rubber latex allergy and to manufacture rubber products with fewer allergens.

摘要

最近发现,对天然橡胶乳胶的速发型、IgE介导的过敏反应会导致接触性和全身性荨麻疹、蛋白质接触性皮炎、鼻炎、哮喘,甚至致命的过敏反应。橡胶树(巴西橡胶树)乳胶中的蛋白质仍会残留在橡胶最终产品中,从而使接触者产生过敏。特应性体质者和手部湿疹患者容易对天然橡胶乳胶过敏,这在使用防护手套时常常引发职业问题。但是,如果症状被误诊,吹气球的人和使用避孕套的人也有风险。如果在手术和医学检查前未做出诊断,就无法预防医疗保健中橡胶制品引起的严重不良反应。因此,当今最重要的任务是开发可靠、安全的天然橡胶乳胶过敏诊断方法,并生产过敏原较少的橡胶制品。

相似文献

1
Allergy to natural rubber latex: a growing problem.天然橡胶乳胶过敏:一个日益严重的问题。
Ann Med. 1994 Aug;26(4):297-300. doi: 10.3109/07853899409147905.
2
[Allergic reaction to products made of natural rubber].对天然橡胶制品的过敏反应
Pol Tyg Lek. 1994;49(14-15):347-51.
3
Latex: a cause of allergic contact eczema in users of natural rubber gloves.乳胶:天然橡胶手套使用者过敏性接触性皮炎的一个病因。
J Am Acad Dermatol. 1998 Jul;39(1):36-42. doi: 10.1016/s0190-9622(98)70399-8.
4
Type I allergy to natural rubber latex and type IV allergy to rubber chemicals in health care workers with glove-related skin symptoms.有手套相关皮肤症状的医护人员中天然橡胶乳胶I型过敏和橡胶化学品IV型过敏
Clin Exp Allergy. 2002 Mar;32(3):441-7. doi: 10.1046/j.1365-2222.2002.01308.x.
5
[Occupational immediate allergy to latex. I. Introduction, epidemiology and clinical findings].[职业性乳胶速发型过敏。I. 引言、流行病学及临床发现]
Med Pr. 1997;48(3):317-23.
6
Current perspectives on latex allergy.
J Pediatr. 1996 Mar;128(3):305-12. doi: 10.1016/s0022-3476(96)70272-x.
7
[Allergy to natural rubber. A current problem].[天然橡胶过敏。当前的一个问题]
Ugeskr Laeger. 1995 Aug 21;157(34):4682-3.
8
Latex allergy in dental students: a cross-sectional study.牙科学生中的乳胶过敏:一项横断面研究。
J Med Assoc Thai. 2011 Aug;94 Suppl 3:S1-8.
9
Immediate allergy to rubber gloves: a questionnaire study of hospital personnel.对橡胶手套的即刻过敏反应:一项针对医院工作人员的问卷调查研究
J Dermatol. 1995 Jan;22(1):19-23. doi: 10.1111/j.1346-8138.1995.tb03334.x.
10
An epidemic of occupational allergy to latex involving health care workers.一场涉及医护人员的乳胶职业过敏流行病。
J Occup Environ Med. 1995 Oct;37(10):1204-9. doi: 10.1097/00043764-199510000-00011.

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2
Advances in male contraception.男性避孕方法的进展。
Endocr Rev. 2008 Jun;29(4):465-93. doi: 10.1210/er.2007-0041. Epub 2008 Apr 24.
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Occupational exposure to latex.职业性接触乳胶。
West J Med. 1995 Oct;163(4):369-70.