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Indirect latex contact causes urticaria/anaphylaxis

P Karathanasis1, A Cooper, K Zhou

  • 1University of Kentucky, Department of Medicine, Lexington.

Annals of Allergy
|December 1, 1993
PubMed
Summary

Recurrent urticaria and anaphylaxis can be perplexing, often with unknown causes. This case highlights indirect latex exposure via a spouse as a trigger, confirmed by skin tests and RAST.

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Area of Science:

  • Immunology
  • Allergy and Immunology

Background:

  • Recurrent urticaria and anaphylaxis pose significant diagnostic challenges, frequently stemming from unidentified etiological factors.
  • Prompt identification of allergens is crucial for effective patient management, potentially preventing severe reactions and reducing healthcare costs.

Observation:

  • A complex case involving a former intensive care unit nurse experiencing recurrent urticaria/anaphylaxis.
  • The patient's latex allergy was triggered by indirect exposure through intimate contact with their spouse.

Findings:

  • Diagnosis of latex allergy was confirmed using both in vivo epicutaneous skin testing and in vitro Radioallergosorbent Test (RAST).
  • This case demonstrates a unique route of allergen sensitization and elicitation in latex allergy.

Implications:

  • Highlights the importance of considering indirect and remote exposure routes in diagnosing allergic reactions.
  • Emphasizes the need for comprehensive patient history and advanced diagnostic tools for complex allergy cases.
  • Suggests potential for broader implications in occupational and household latex sensitization scenarios.

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