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[Allergic asthma to latex, proven by a bronchial provocation test]
G Kanny1, F Prestat, D A Moneret-Vautrin
1Service de Médecine D, Centre Hospitalier Universitaire de Nancy, Nancy-Vandoeuvre, France.
Allergie Et Immunologie
|November 1, 1992
Summary
Occupational exposure to latex gloves can cause allergic reactions like skin rash and asthma-like symptoms. This case highlights the importance of recognizing latex-induced asthma in various professions.
Area of Science:
- Occupational Health
- Allergology
- Pulmonology
Background:
- Repeated occupational exposure to natural rubber latex can lead to sensitization.
- Cooks and other professionals using rubber gloves are at risk of developing latex allergies.
Observation:
- A female cook presented with contact urticaria, rhinitis, and asthma-type dyspnea upon using rubber gloves.
- Diagnostic tests confirmed latex allergy, including prick testing, specific IgE detection, and contact urticaria.
- A bronchial provocation test using a latex glove rinse solution induced immediate bronchospasm.
Findings:
- The bronchial provocation test demonstrated that latex can precipitate asthma-type dyspnea in sensitized individuals.
- The rapid onset and severity of respiratory symptoms underscore the need for caution during such tests.
- Latex-induced asthma is a potentially underestimated occupational hazard across diverse professions.
Implications:
- Standardization of latex protein concentration is crucial for safe, progressive dose administration in diagnostic testing.
- Healthcare providers and employers should be aware of the risk of latex-induced respiratory issues.
- Preventive measures and alternative glove materials should be considered for individuals with latex sensitivity.