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Glove-related hand urticaria
Summary
Glove-related hand urticaria, often underdiagnosed, presents as skin reactions to disposable gloves. Healthcare workers with dermographism and negative allergy tests should consider this diagnosis.
Area of Science:
- Dermatology
- Allergology
Background:
- Glove-related hand urticaria is an underdiagnosed condition.
- It is a crucial differential diagnosis for suspected contact allergies.
Observation:
- A nurse experienced recurrent hand urticaria after wearing disposable gloves, regardless of material.
- Allergy tests, including patch tests and IgE analysis, were negative.
- Dermographism was present, and symptoms worsened with tight-fitting gloves.
Findings:
- The case highlights glove-related hand urticaria in a healthcare worker.
- Negative allergy tests and presence of dermographism are key indicators.
- Symptoms are exacerbated by tight-fitting gloves.
Implications:
- Glove-related hand urticaria should be suspected in healthcare professionals with unexplained urticarial reactions to gloves.
- Diagnosis requires considering dermographism and ruling out other allergies.
- Management involves avoiding tight-fitting gloves and using barrier creams.
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