Akasawa A, Matsumoto K, Saito H, Sakaguchi N, Tanaka K, Obata T, Tsubaki T, Iikura Y
Division of Allergy, National Children's Hospital.
Arerugi. 1993 Apr;42(4):582-5.
Many cases of latex-induced intraoperatived anaphylaxis have been reported in Europe and the U.S. but not in Japan. We measured latex-specific IgE antibody in sera from the 108 atopic children with high serum IgE levels (over 1,000 U/ml). All of them were diagnosed to have asthma, atopic dermatitis and/or food intolerance. Eleven (10.2%) out of 108 patients were found to have latex-specific IgE by RAST, and 6 of them were positive for latex antigen by skin test. Most of the children did not realize that they were allergic to latex until we discovered it. This data suggest that we should be cautious about latex allergy when atopic children have to be operated upon.
在欧洲和美国已报告了许多乳胶诱导的术中过敏反应病例,但在日本却没有。我们检测了108名血清IgE水平高(超过1000 U/ml)的特应性儿童血清中的乳胶特异性IgE抗体。他们均被诊断患有哮喘、特应性皮炎和/或食物不耐受。108例患者中有11例(10.2%)通过放射变应原吸附试验检测出乳胶特异性IgE,其中6例皮肤试验对乳胶抗原呈阳性。在我们发现之前,大多数儿童并未意识到自己对乳胶过敏。这些数据表明,当必须对特应性儿童进行手术时,我们应对乳胶过敏保持谨慎。