Anaphylactic shock due to latex allergy
| Autor: | Mayumi Sugimoto, Hiroki Mori, Keigo Yada, Shoji Kagami, Akemi Ono, Hiroki Ishibashi, Noriko Niki |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Allergy Immunoglobulin E General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Allergic symptoms Latex Hypersensitivity medicine Humans latex allergy Child Intraoperative Complications Anaphylaxis Skin Tests biology latex-specific IgE business.industry General Medicine medicine.disease Dermatology Basophil activation skin prick test 030104 developmental biology 030228 respiratory system Latex allergy basophil activation test Natural rubber latex biology.protein Anaphylactic shock Female business Nephrotomy |
| Zdroj: | The journal of medical investigation : JMI. 65(3.4) |
| ISSN: | 1349-6867 |
| Popis: | Natural rubber latex (NRL) allergy is one of the most important causes of severe anaphylaxis during medical intervention. We report a pediatric case of latex allergy with multiple surgical histories. A 12-year-old girl developed anaphylactic shock during the pyeloplasty for ureteropelvic junction restenosis. Latex gloves or medications used during the surgery were suspected to be the cause of anaphylactic shock. We diagnosed her latex allergy on the basis of the results that serum latex-specific IgE, skin prick tests of extract from NRL gloves and recombinant Hev b 6.02 solution were positive. Basophil activation test of NRL gloves was also positive, supporting the diagnosis of immediate allergic reactions caused by NRL. It was speculated that a history of multiple surgeries in infancy became a trigger of sensitization to latex in this patient. Reoperation after the diagnosis of NRL allergy was carried out in a latex-free environment and completed without any allergic symptoms. It would be necessary to perform the pre-screening of latex allergy to prevent the onset of latex allergy especially in the patients with multiple surgical histories. J. Med. Invest. 65:292-295, August, 2018. |
| Databáze: | OpenAIRE |
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