TY - CHAP M1 - Book, Section TI - Chapter 35. Latex Allergy A1 - Tinklepaugh, Mark S. A2 - Atchabahian, Arthur A2 - Gupta, Ruchir PY - 2013 T2 - The Anesthesia Guide AB - Three types: Contact dermatitis: Eighty percent of all reactions to wearing latex glovesSeen as dry, cracked skin worsened by powder and soapNonimmunological responseTreat by avoiding irritants and application of topical steroidsType IV delayed hypersensitivity: Eighty percent of all immunological responses to latexT-cell-mediated immunological response to latex allergen, usually chemical additive of latex manufacturingUsually presents 6–72 hours after exposure; mild itch to oozing blisters much like poison ivy; may respond to topical steroidsType I immediate hypersensitivity: IgE-mediated reaction to proteins found in latexMay be localized with immediate urticaria (hives)May be generalized with hives, bronchospasm, airway obstruction, anaphylaxis, cardiovascular collapseAt-risk groups: Health care workers: Twenty-four percent of anesthesiologists/nurse anesthetists have contact dermatitisPrevalence of latex sensitization in anesthesiologists/nurse anesthetists is up to 15%, and that in general population is up to 6%Health care workers who are patients themselves involved in up to 70% of latex-related adverse eventsRubber industry workers, greenhouse workers, and hair stylists at increased riskPatients with multiple surgeries: Frequent exposure to latex products experienced by patients with congenital urological anomalies and spina bifida can have incidence as high as 60%Food allergies: Tropical fruit (avocado, kiwi, banana), chestnuts, stone fruit (peach, nectarine, apricot, almond, plum, cherry). Buckwheat, a grain substitute used in gluten-free diets of patients with celiac disease, is known to have cross-reactivity with latexAllergy history: Atopic, asthma, rhinitis, hay fever, or eczema SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=57260748 ER -