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Educational - Latex Allergies
Latex Allergies

Latex is a milky liquid that comes from the incision of the tropical plant Hevea brasiliensis grown in Brazil and Asia and is the cause of different types of pathologies.

This rubber was imported into the Old Continent in the fifteenth century and became an industrial product since 1839 when Goodyear accidentally discovered a process that allowed to stabilize the elastic properties of rubber (vulcanization) and created in 1890 the first pair of rubber gloves for surgical use.

This latex allergy can manifest itself with skin symptoms such as irritant contact dermatitis and allergic contact dermatitis. Some people experience conjunctivitis, rhinitis, asthma, difficulty breathing and hives within an hour of contact with latex, while others experience itchy, blistering or scaling dermatitis within 24-72 hours of contact with rubber.

The most common manifestation of latex allergy to gloves is itchy contact urticaria, followed by contact dermatitis, but there are also cases of asthma and anaphylactic shock. In fact, 10% of all intraoperative anaphylactic reactions are due to latex, especially if the rubber comes into contact with abraded mucous membranes.


Soggetti a rischio di reazioni allergiche al lattice

Latex allergy has recently become increasingly of interest due to the increased exposure to this rubber with consequent increase in sensitization in particular of healthcare personnel (doctors, paramedics, dentists); rubber manufacturing workers; children with spina bifida and carriers of anomalies of the urogenital tract; patients with a history of allergies, particularly bronchial asthma or who have undergone repeated surgery, or with documented food allergies to fruit, in particular kiwi and banana.

There are also numerous categories at professional risk: healthcare workers, rubber industry workers, housewives, gardeners; the latter can become sensitized not only by the use of gloves but also through the Ficus Benjamina plants with which they come into contact, since they contain allergens cross-reactive with latex. Based on this, guidelines have been defined for the prevention of latex allergy.

allergia-al-lattice


Allergia al lattice sintomi e diagnosi
Clinical signs and symptoms of latex allergy
First of all, it is necessary to distinguish between immediate and delayed reactions: some people present conjunctivitis, rhinitis, asthma, breathing difficulties and urticaria within an hour of contact with latex, while others present itchy, vesicular or desquamative dermatitis within 24-72 hours of contact with rubber. The most common manifestation of glove allergy is itchy contact urticaria, followed by contact dermatitis, but there are also cases of asthma and anaphylactic shock. In fact, 10% of all intraocular anaphylactic reactions are due to latex, especially if the rubber comes into contact with abraded mucous membranes.
How is latex allergy diagnosed?
A thorough history of the patient and a clinical examination by a specialist are important for the diagnosis of Latex allergy. The allergist will then request a series of tests to demonstrate the allergy and this is particularly important if the Latex allergy is related to professional exposure: a blood test (RAST), a skin test (PRICK and PATCH) and a provocation test in a hospital environment.

 

Products that may contain latex

 Medical use
Gloves, plasters, eye droppers, syringes, tourniquet, sphygmomanometer cuff, catheter, anesthesia masks, dental prostheses, needle cannulas
 Sport Fins, wetsuits, masks, sailing accessories, balls, balloons
 Domestic use
Gloves, shower curtains, hot water bottles, adhesive insulation, mattresses, pillows
Contraceptive devices
Condoms and diaphragms
Childhood items Dummies, bottle nipples, rubber bands, shoes
Other products Erasers, stamps, tires, raincoats
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