[Contact allergy-induced tracheal stenosis caused by vulcanization accelerators in the endotracheal tube?].
Tracheal stenoses occur mainly under iatrogenic conditions: they develop specially after long-term intubation, but also after tracheotomy. Etiological-pathogenic relevant factors include the mechanical irritation of mucosa, perichondrium and cartilage in addition to infected tracheal secretions. An allergic cell-mediated reaction in the respiratory tract has been already described. It is seldom recognized. The possibility of such a hyperergic, allergic, delayed reaction (Type IV Coombs-Gell response) with subsequent tracheal stenosis caused by rubber chemicals (accelerators) found in endotracheal tubes is presented in the following case report.
Niehaus
H H
HH
HNO-Klinik, Universitätsklinikum Rudolf Virchow, Freien Universität Berlin.
Enzmann
H
H
D017449:Dermatitis, Allergic Contact / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D010328:Patch Tests; D012151:Resuscitation; D012408:Rubber / Q000009:adverse effects*; D014135:Tracheal Stenosis / Q000209:etiology* / Q000601:surgery; D014136:Tracheitis / Q000209:etiology* / Q000601:surgery; D014139:Tracheostomy
D012408:Rubber
Kontaktallergisch bedingte Trachealstenose durch im Tubus vorhandene Vulkanisationsbeschleuniger?