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Naturlatexallergie

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Allergy to natural latex

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  • Arbeitsmedizin
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

In den letzten 10 Jahren stieg als Folge der Aids-Prophylaxe der Verbrauch von gepuderten Latexeinmalhandschuhen in den Krankenhäusern und Arztpraxen deutlich an, und die Naturlatexallergie wurde zu einem viel beachteten Problem. Die Klinik der Soforttypallergien (Typ-I-Allergie) gegen Naturlatex reichte von leichten lokalen allergischen Symptomen (Urtikaria, Rhinitis, Konjunktivitis) über asthmatische Beschwerden bis zur schwersten anaphylaktischen Reaktion. Neben Beschäftigten im Gesundheitsdienst sind mit steigender Tendenz auch Patienten bei einer Vielzahl von chirurgischen und anderen ärztlichen Eingriffen betroffen. Naturlatex ist aufgrund der enormen gesundheitlichen und volkwirtschaftlichen Bedeutung eine der am meisten untersuchten Allergenquellen. Anstrengungen wurden unternommen, die Ursachen und Auslöser zu identifizieren, eine Diagnostik aufzubauen und diese laufend zu verbessern sowie präventive Maßnahmen zu etablieren und diese erfolgreich umzusetzen.

Abstract

As a consequence of AIDS prevention strategies, the use of powdered disposable latex gloves in hospitals and private medical practices has increased conspicuously in the past 10 years, and allergic reactions to natural latex have become a frequently observed problem. The clinical picture of type I allergies (immediate hypersensitivity) to natural latex ranges from slight, local allergic symptoms (urticaria, rhinitis, and conjunctivitis) to asthmatic complaints up to severest anaphylactic reactions. In addition to health care employees, patients are being affected with an increasing tendency during a variety of surgical and other medical interventions. Due to its enormous hygienic and economic significance, natural latex has become one of the most frequently studied sources of allergies. Efforts were undertaken to identify the causes and triggering factors, to develop diagnostic tools and continue to improve upon them, and to establish preventive measures and implement them successfully.

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Literatur

  1. Baur X (1998) Naturlatex und Allergie der Atemwege. Allergo J 7:SA8

    Google Scholar 

  2. Baur X, Chen Z, Allmers H (1998) Can a threshold limit value for natural rubber latex airborne allergens be defined? J Allergy Clin Immunol 101:24–27

    CAS  PubMed  Google Scholar 

  3. Baur X, Chen Z, Raulf-Heimsoth M, Degens P (1997) Protein and allergen content of various natural latex articles. Allergy 52:661–664

    CAS  PubMed  Google Scholar 

  4. Charous BL, Tarlo SM, Charous MA, Kelly K (2002) Natural rubber latex allergy in the occupational setting. Methods 27:15–21

    Article  CAS  PubMed  Google Scholar 

  5. Chen Z, Düser M, Flagge A et al. (2000) Identification and characterization of cross-reactive natural rubber latex and Ficus benjamina allergens. Int Arch Allergy Immunol 123:291–298

    Article  CAS  PubMed  Google Scholar 

  6. Grimm A (1927) Überempfindlichkeit gegen Kautschuk als Ursache von Urtikaria und Quinckeschem Ödem. Klin Wochenschr 6:1479

    Google Scholar 

  7. Kelly KJ, Pearson ML, Kurup VP et al. (1994) A cluster of anaphylactic reactions in children with spina bifida during general anesthesia: epidemiologic features, risk factors, and latex hypersensitivity. J Allergy Clin Immunol 94:53–61

    CAS  PubMed  Google Scholar 

  8. Korn M, Merget R (2003) Letter to the editor to „Are hospitals safe for latex allergic patients? Allergy (2002) 57:870–871“. Allergy 58:1069

    Article  PubMed  Google Scholar 

  9. Lundberg M, Chen Z, Rihs HP, Wrangsjö K (2001) Recombinant spiked allergen extract. Allergy 56:794–795

    Article  CAS  PubMed  Google Scholar 

  10. Nutter AF (1979) Contact urticaria to rubber. Br J Dermatol 101:597–598

    CAS  PubMed  Google Scholar 

  11. Ownby DR (2002) A history of latex allergy. J Allergy Clin Immunol 110: S27–32

    Article  PubMed  Google Scholar 

  12. Raulf-Heimsoth M, Posch A, Chen Z, Baur X (1997) Cross-reactivity between natural rubber latex and food allergens. Environ Toxicol Pharmacol 4:169–173

    Article  CAS  Google Scholar 

  13. Raulf-Heimsoth M, Stark R, Sander I et al. (2002) Anaphylactic reaction to apple juice containing acerola –cross reactivity to latex due to prohevein. J Allergy Clin Immunol 109:715

    Article  PubMed  Google Scholar 

  14. Spickett GP, Wright LJ, Green T et al. (2002) Are hospitals safe for latex allergic patients? Allergy 57:870–871

    Article  CAS  PubMed  Google Scholar 

  15. Stern G (1927) Überempfindlichkeit gegen Kautschuk als Ursache von Urtikaria und Quinckeschem Ödem. Klin Wochenschr 6:1096–1097

    Google Scholar 

  16. Sussman GL, Beezhold DH, Liss G (2002) Latex allergy: historical perspective. Methods 27:3–9

    Article  CAS  PubMed  Google Scholar 

  17. Turjanmaa K, Palosuo T, Alenius H et al. (1997) Latex allergy diagnosis: in vivo and in vitro standardization of a natural rubber latex extract. Allergy 52:41–50

    CAS  PubMed  Google Scholar 

  18. Turjanmaa K, ReunalaT, Tuimala R, Karkkainen T (1984) Severe IgE mediated allergy to surgical gloves [abstract]. Allergy 39:S-2

    Google Scholar 

  19. Williams P, Buhr M, Weber R et al. (1995) Latex allergen in respirable particulate air pollution. J Allergy Clin Immunol 95:88–95

    CAS  PubMed  Google Scholar 

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Raulf-Heimsoth, M., Rihs, HP., Sander, I. et al. Naturlatexallergie. Trauma Berufskrankh 6, 140–143 (2004). https://doi.org/10.1007/s10039-004-0891-8

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  • DOI: https://doi.org/10.1007/s10039-004-0891-8

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