Contact urticaria due to rubber chemicals?
Contact urticaria due to gloves is mostly related to immediate-type allergy to natural rubber latex (NRL), and rarely due to rubber chemicals. We report the results of prick tests with rubber chemicals carried out on 75 latex-allergic patients. Clinically relevant hypersensitivity was not observed in our patient collection. Thus, we conclude that contact urticaria due to rubber chemicals is a very rare finding in latex-allergic patients, but has to be considered in patients with contact urticaria due to synthetic rubber gloves, as well as in patients with contact urticaria due to NRL gloves but no latex allergy. Therefore prick tests with rubber chemicals are unnecessary in the routine diagnostic assessment of latex-allergic patients.
Brehler
R
R
Department of Dermatology and Venereology, University of Münster, Germany.
Sedlmayr
S
S
D000293:Adolescent; D000328:Adult; D000888:Antibodies, Anti-Idiotypic / Q000097:blood; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D017575:Gloves, Protective; D006632:Histamine / Q000032:analysis; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology; D008297:Male; D008875:Middle Aged; D009570:Nitriles / Q000009:adverse effects; D015203:Reproducibility of Results; D012408:Rubber / Q000009:adverse effects* / Q000138:chemical synthesis*; D012882:Skin Tests; D013449:Sulfonamides / Q000032:analysis; D013844:Thiazoles / Q000032:analysis; D014581:Urticaria / Q000139:chemically induced* / Q000175:diagnosis
D000888:Antibodies, Anti-Idiotypic; D009570:Nitriles; D013449:Sulfonamides; D013844:Thiazoles; C026408:anti-IgE antibodies; D007073:Immunoglobulin E; D006632:Histamine; D012408:Rubber