LATEX INTOLERANCE Basic Science, Epidemiology, and Clinical Management doc

[...]... patients with latex Latex intolerance 6 allergy in Finland.11 Konrad identified hand dermatitis in 5/16 (31%) latex- sensitized healthcare workers compared with 23/85 (27%) nonsensitized latex staff.21 C MULTIPLE OPERATIONS AND/ OR INDWELLING LATEX Repeated episodes of surgery with or without long-term exposure to latex are a common feature in several reports with a high prevalence of latex exposure... Diagnosis of natural rubber latex allergy: Multi-centre latex skin testing efficacy study, J Allergy Clin Immunol., 102, 482, 1998 8 Hamilton, R.G and Adkinson F., Natural rubber latex skin testing reagents: Safety and diagnostic accuracy of nonammoniated latex, ammoniated latex and latex rubber glove extracts, J Allergy Clin Immunol., 98, 872, 1996 9 Wransjo, K., Osterman, K., and van Hage-Hamsten, M.,... for inhalant allergens to a latex SPT Those who tested positive without a clinical history supporting latex allergy were submitted to a latex glove challenge to confirm latex allergy.11 Among those diagnosed with latex allergy, 18% of healthcare workers and 37% of nonhealthcare workers could not recall symptoms associated with latex exposure, with an additional 46 cases of latex allergy diagnosed in... dermatology and is also the clinical governance and audit lead clinician for dermatology in Cardiff He is the author of more than 50 papers and book chapters and co-editor of two books His current research interests include latex allergy and other areas of contact dermatitis and occupational dermatology Howard I.Maibach, M.D., is a professor of dermatology at the University of California, San Francisco and. .. of latex allergy 3 ventilation, 38% were symptomatic on latex exposure but almost half (45%) of these were negative to latex on IgE testing.10 While contact urticaria, rhinoconjunctivitis, asthma, and anaphylaxis on latex exposure are all highly suggestive of latex allergy, Turjanmaa found 10% of patients had nonspecific irritation at the site of latex exposure and 2% had no symptoms at the site of latex. .. 2000 27 Garabrant, D.H et al., Latex sensitisation in health care workers and in the U.S general population, Am J Epidemiology, 153, 512, 2001 28 Wartenberg, D and Buckler, G., Invited commentary: Assessing latex sensitisation using data from NHANES III, Am J Epidemiology, 153, 523, 2001 29 Page, E.H et al., Natural rubber latex: Glove use, sensitisation and airborne and latent dust concentrations... to latex and common inhalant allergens clearly demonstrating the synergistic effect of exposure and atopy as risk factors in latex allergy, as illustrated in Table 1.3.23 In the same study, only 2/14 children with spina bifida without atopy were sensitized compared with 6/11 with both atopy and spina bifida B HAND DERMATITIS Occupations involving frequent use of latex gloves are also those where hand... of Atopy and Latex Exposure on the Prevalence of Latex Allergy Atopy No No Yes Yes Latex Exposure No Yes No Yes Number Tested 272 73 180 44 Latex Positive 0.37% 6.8% 9.4% 36.4% the damaged skin barrier that in turn enhances penetration of the allergen, increasing the risk of sensitization Hand dermatitis was found at the time of presentation of the latex allergy in 41% of healthcare workers and 34%... Future of Safety Deborah D.Davis Occupational Health Management of Latex Allergy Anil Adisesh Management of Rubber-Based Allergies in Dentistry Curtis P.Hamann, Pamela A.Rodgers, and Kim Sullivan Management of Latex Allergy: Allergist’s Perspective Ignatius C.Chua, Alison J.Owen, and Paul E.Williams Index 172 184 202 208 246 259 1 Epidemiology of Latex Allergy Barry N.Statham I INTRODUCTION Many studies... contributor to experimental research in dermatopharmacology and to clinical research on contact dermatitis, contact urticaria, and other skin conditions Dr Maibach graduated from Tulane University, New Orleans, Louisiana (A.B and M.D.) and received his research and clinical training at the University of Pennsylvania, Philadelphia He received an honorary doctorate from the University of Paris Sud in 1988 Dr . class="bi x0 y0 w0 h0" alt="" LATEX INTOLERANCE Basic Science, Epidemiology, and Clinical Management DERMATOLOGY: CLINICAL & BASIC SCIENCE SERIES Series. Howard I.Maibach DERMATOLOGY: CLINICAL & BASIC SCIENCE SERIES LATEX INTOLERANCE Basic Science, Epidemiology, and Clinical Management Edited by Mahbub