Severe latex allergy after a vaginal examination during labor: a case report

American Journal of Obstetrics and Gynecology
R SantosD Montoya

Abstract

There has been an alarming increase in latex allergy, which can be a potential cause of occupational atopic disease. Physicians should be aware of this entity in high-risk groups and in patients with other allergies. A 32-year-old pregnant woman, with an allergy to orange juice, was first seen with a 39-week pregnancy in the labor room, where she had on two occasions a severe atopic reaction when examined with a latex glove. A latex allergy was suspected, and management with hydrocortisone resulted in remission of symptoms. Two hours later a vaginal delivery was performed with nonlatex, nonvinyl gloves. A week later immunoglobulin E antilatex antibodies determined by radioallergosorbent test were still positive at 585 IU. It is concluded that symptoms of latex allergy may develop in high-risk groups or in those with other known allergies. Because of the increasing frequency of this entity, physicians should take greater care and give more attention to the clinical history, as well as be aware of this possibility in these groups of patients.

References

Feb 1, 1995·Der Anaesthesist·T Obenhaus
Dec 1, 1994·Clinical and Experimental Immunology·R S Pumphrey

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Citations

May 29, 2013·International Journal of Obstetric Anesthesia·I AdriaensensD Ebo
May 13, 2008·Forensic Science International : Synergy·E TurillazziV Fineschi
Sep 14, 2011·The Mount Sinai Journal of Medicine, New York·Sandra M Gawchik
Jun 15, 2011·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·J K Lee, P Vadas
Nov 28, 2006·International Journal of Obstetric Anesthesia·G DraisciD Pietrini
Jul 17, 2013·The Cochrane Database of Systematic Reviews·Soo DowneMandisa Singata
Jan 25, 2011·Anesthesiology·Gaetano DraisciGiampiero Patriarca

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