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Title: Latex allergy: Clinical features and cross-reactivity with fruits
Authors: Blanco, C.
Carrillo, T. 
Castillo, R.
Quiralte Castillo, Joaquin 
Cuevas, M.
UNESCO Clasification: 32 Ciencias médicas
320701 Alergias
Keywords: Contact Urticaria
Rubber Gloves
Surgical Gloves
Anaphylaxis, et al
Issue Date: 1994
Journal: Annals of allergy 
Abstract: Background: Latex IgE-mediated allergy is an important medical problem, but its clinical characteristics and association with food allergies are not well defined.Objective: Our objectives were to determine the clinical features of latex-allergic patients, and latex-associated food hypersensitivities.Methods: A prospective study was performed in our outpatient clinic. It consisted of a clinical questionnaire, skin prick tests with aeroallergens and foods, skin test with a latex extract, determination of total and specific IgE by CAP/RAST methods, and RAST inhibition. Latex and food allergies were diagnosed on the basis of a suggestive clinical history and a positive skin test with the corresponding allergen.Results: Twenty-five patients were diagnosed as having latex allergy. Their mean age was 33 +/- 9.0 years, with female predominance (23:2). There were nine greenhouse and six hospital workers. Latex-induced reactions included systemic anaphylaxis in nine patients (36%). Average total IgE was 161 kU/L, and it was within normal limits in 16 cases. Latex skin prick tests had excellent diagnostic precision with no adverse reactions, and CAP for latex diagnostic sensitivity was 80%. Forty-two food allergies were diagnosed in 13 of our patients (52%), and 23 of these consisted of systemic anaphylaxis. The most frequent food hypersensitivities were to avocado (9),chestnut (9), banana (7), kiwi (5) and papaya (3). Through RAST-inhibition, cross-reactivity among latex, avocado, chestnut, and banana was demonstrated.Conclusions: In our experience, latex allergy affects middle-aged women in certain professions at increased risk. Our data suggest the existence of a ''latex-fruit syndrome, because 52% of our latex allergic patients had allergies to certain fruits.
ISSN: 0003-4738
Source: Annals of Allergy[ISSN 0003-4738],v. 73, p. 309-314
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