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Latex allergy: Review of recent advances

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Abstract

Latex allergy is an IgE-dependent immediate hypersensitivity reaction to latex proteins. Risk factors for latex allergy are contact with latex products and atopy. Children who undergo multiple surgical procedures and healthcare workers are the major groups at risk. Powdered latex gloves are an important source of sensitization. Preventive measures are leading to reduction in latex sensitization and allergic reactions. The prevalence of latex allergy in the general population may be as low as 0.1%, whereas the frequency of latex sensitization is reported to be 7%; this may be due to cross-reacting antipollen IgE. The most important latex allergens have been purified, and some have been cloned and sequenced. Many latex-allergic patients are also allergic to common plant-derived aeroallergens and foods. The structural and biologic relationships among plant-derived food allergens, including latex, explain these clinically important cross-reactions.

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References and Recommended Reading

  1. Kekwick R, Bhambri S, Chabane MH, et al.: The allergenic properties of fresh and preserved Hevea brasiliensis latex protein preparations. Clin Exp Immunol 1996, 104:337–342.

    Article  PubMed  CAS  Google Scholar 

  2. Fink JN: Immunology and Allergy Clinics of North America, v15. Philadelphia: WB Saunders; 1995.

    Google Scholar 

  3. Czuppon AB, Allmers H, Baur X: Evaluation of diagnostic procedures in type 1 latex allergy. ACI Int 2000, 12:98–104.

    Google Scholar 

  4. Bernardini R, Novembre E, Ingargiola A, et al.: Prevalence and risk factors of latex sensitization in an unselected pediatric population. J Allergy Clin Immunol 1998, 101:621–625.

    Article  PubMed  CAS  Google Scholar 

  5. Ylitalo L, Turjanmaa K, Palosuo T, Reunala T: Natural rubber latex allergy in children who had not yet undergone surgery and children who had undergone multiple operations. J Allergy Clin Immunol 1997, 100:606–612.

    Article  PubMed  CAS  Google Scholar 

  6. Niggermann B, Breiteneder H: Latex allergy in children. Int Arch Allergy Immunol 2000, 121:98–107.

    Article  Google Scholar 

  7. Bernardini R, Novembre E, Lombardi E, et al.: Risk factors for latex allergy in patients with spina bifida and latex sensitization. Clin Exp Allergy 1999, 29:681–686.

    Article  PubMed  CAS  Google Scholar 

  8. Zoller G, Thermann F, Conrad S, et al.: Comparison of questionnaire-based and serological screening for natural rubber latex allergy in children with neurogenic bladder dysfunction. Eur Urol 1998, 34:79–83.

    Article  PubMed  CAS  Google Scholar 

  9. Porri F, Pradal M, Lemiere C, et al.: Association between latex sensitization and repeated latex exposure in children. Anesthesiology 1997, 86:599–602.

    Article  PubMed  CAS  Google Scholar 

  10. Tarlo SM, Wong L, Roos J, Booth N: Occupational asthma caused by latex in a surgical glove manufacturing plant. J Allergy Clin Immunol 1990, 85:626–631.

    Article  PubMed  CAS  Google Scholar 

  11. Buyukozturk S, Kardes B, Erden S, et al.: Latex allergy in a glove plant. Allergy 2000, 55:196–197.

    Article  PubMed  CAS  Google Scholar 

  12. Orfan NA, Reed R, Dykewicz MS, et al.: Occupational asthma in a latex doll manufacturing plant. J Allergy Clin Immunol 1994, 84:826–830.

    Article  Google Scholar 

  13. Pisati G, Baruffini A, Bernabeo F, Falagiani P: Environmental and clinical study of latex allergy in a textile factory. J Allergy Clin Immunol 1998, 101:327–329.

    Article  PubMed  CAS  Google Scholar 

  14. Martinez Rivera C, Monso Molas E, Izquierdo Ramirez J, Morera Prats J: Latex occupational asthma in the production of chewing gum: a case report [Spanish]. Med Clin (Barc) 1998, 111:399.

    CAS  Google Scholar 

  15. Kim KT, Wellmeyer EK, Miller KV: Minimum prevalence of latex hypersensitivity in health care workers. Allergy Asthma Proc 1999, 20:387–391.

    Article  PubMed  CAS  Google Scholar 

  16. Levy Y, Ashkenazi S, Lieberman S, Danon YL: The prevalence of specific IgE antibodies to natural rubber latex in healthcare workers in Israel. Isr Med Assoc J 2000, 2:154–157.

    PubMed  CAS  Google Scholar 

  17. Graudenz G, Esher S, Ortega MC, et al.: Prevalence of latex allergy in a group of health care workers in Sao Paulo, Brazil [abstract]. J Allergy Clin Immunol 2000, 105:S54.

    Google Scholar 

  18. Turjanmaa K, Reinikka-Railo H, Reunala T, Palosuo T: Continued decrease in natural rubber latex (nrl) allergen levels of medical gloves in nationwide market surveys in Finland and co-occurring decrease in NRL allergy prevalence in a large university hospital [abstract]. J Allergy Clin Immunol 2000, 105:S373.

    Google Scholar 

  19. Smedley J, Jury A, Bendall H, et al.: Prevalence and risk factors for latex allergy: a cross sectional study in a United Kingdom hospital. Occup Environ Med 1999, 56:833–836.

    Article  PubMed  CAS  Google Scholar 

  20. Poley GE, Slater JE: Latex allergy. J Allergy Clin Immunol 2000, 105:1054–1062.

    Article  PubMed  CAS  Google Scholar 

  21. Liss GM, Sussman GL: Latex sensitization: occupational versus general population prevalence rates. Am J Ind Med 1999, 35:196–200.

    Article  PubMed  CAS  Google Scholar 

  22. Merrett TG, Merrett J, Kekwick R: The prevalence of immunoglobulin E antibodies to the proteins of rubber (Hevea brasiliensis) latex and grass (Phleum pratense) pollen in sera of British blood donors. Clin Exp Allergy 1999, 29:1572–1578.

    Article  PubMed  CAS  Google Scholar 

  23. Saxon A, Ownby D, Huard T, et al.: Prevalence of IgE to natural rubber latex in unselected blood donors and performance characteristics of AlaSTAT testing. Ann Allergy Asthma Immunol 2000, 84:199–206.

    Article  PubMed  CAS  Google Scholar 

  24. Tarlo SM, Sussman GL, Holness DL: Latex sensitivity in dental students and staff: a cross-sectional study. J Allergy Clin Immunol 1997, 99:396–401.

    Article  PubMed  CAS  Google Scholar 

  25. Levy DA, Allouache S, Chabane MH, et al.: Powder-free protein-poor natural rubber latex gloves and latex sensitization. JAMA 1999, 281:988.

    Article  PubMed  CAS  Google Scholar 

  26. Grote M, Mahler V, Spitzauer S, et al.: In situ localization of latex allergens in 3 different brands of latex gloves by means of immunogold field emission scanning and transmission electron microscopy. J Allergy Clin Immunol 2000, 105:561–569.

    Article  PubMed  CAS  Google Scholar 

  27. Swanson MC, Bubak ME, Hunt LW, et al.: Quantification of occupational latex aeroallergens in a medical center. J Allergy Clin Immunol 1994, 94:445–451.

    Article  PubMed  CAS  Google Scholar 

  28. Heilman DK, Jones RT, Swanson MC, Yunginger JW: A prospective, controlled study showing that rubber gloves are the major contributor to latex aeroallergen levels in the operating room. J Allergy Clin Immunol 1996, 98:325–330.

    Article  PubMed  CAS  Google Scholar 

  29. Hermesch CB, Spackman GK, Dodge WW, Salazar A: Effect of powder-free latex examination glove use on airborne powder levels in a dental school clinic. J Dent Educ 1999, 63:814–820.

    PubMed  CAS  Google Scholar 

  30. Yunginger JW, Jones RT, Fransway AF, et al.: Extractable latex allergens and proteins in disposable medical gloves and other rubber products. J Allergy Clin Immunol 1994, 93:836–842.

    Article  PubMed  CAS  Google Scholar 

  31. Woolhiser MR, Munson AE, Meade BJ: Immunological responses of mice following administration of natural rubber latex proteins by different routes of exposure. Toxicol Sci 2000, 55:343–351.

    Article  PubMed  CAS  Google Scholar 

  32. National Institute for Occupational Safety and Health: Preventing allergic reactions to natural rubber latex in the workplace. NIOSH Alert 1997, pub 97–135.

  33. Hayes BB, Afshari A, Millecchia L, et al.: Evaluation of percutaneous penetration of natural rubber latex proteins. Toxicol Sci 2000, 56:262–270.

    Article  PubMed  CAS  Google Scholar 

  34. Yip L, Hickey V, Wagner B, et al.: Skin prick test reactivity to recombinant latex allergens. Int Arch Allergy Immunol 2000, 121:292–299.

    Article  PubMed  CAS  Google Scholar 

  35. Kurup VP, Yeang HY, Sussman GL, et al.: Detection of immunoglobulin antibodies in the sera of patients using purified latex allergens. Clin Exp Allergy 2000, 30:359–369.

    Article  PubMed  CAS  Google Scholar 

  36. Johnson BD, Kurup VP, Sussman GL, et al.: Purified and recombinant latex proteins stimulate peripheral blood lymphocytes of latex allergic patients. Int Arch Allergy Immunol 1999, 120:270–279.

    Article  PubMed  CAS  Google Scholar 

  37. de Silva HD, Sutherland MF, Suphioglu C, et al.: Human T-cell epitopes of the latex allergen Hev b 5 in health care workers. J Allergy Clin Immunol 2000, 105:1017–1024.

    Article  PubMed  Google Scholar 

  38. Breiteneder H, Scheiner O: Molecular and immunological characteristics of latex allergens. Int Arch Allergy Immunol 1998, 116:83–92.

    Article  PubMed  CAS  Google Scholar 

  39. Brehler R, Theissen U, Mohr C, Luger T: “Latex-fruit syndrome” frequency of cross-reacting antibodies. Allergy 1997, 52:404–410.

    Article  PubMed  CAS  Google Scholar 

  40. Blanco C, Carrillo T, Castillo R, et al.: Avocado hypersensitivity. Allergy 1994, 49:454–459.

    Article  PubMed  CAS  Google Scholar 

  41. Lavaud F, Sabouraud D, Deschamps F, Perdu D: Crossreactions involving natural rubber latex. Clin Rev Allergy Immunol 1997, 15:429–447.

    PubMed  CAS  Google Scholar 

  42. Breiteneder H, Ebner C: Molecular and biochemical classification of plant-derived food allergens. J Allergy Clin Immunol 2000, 106:27–36

    Article  PubMed  CAS  Google Scholar 

  43. Valenta R, Kraft D: Type I allergic reactions to plant-derived food: consequence of primary sensitization to pollen allergens. J Allergy Clin Immunol 1996, 97:893–895.

    Article  PubMed  CAS  Google Scholar 

  44. Leynadier F, Herman D, Vervloet D, Andre C: Specific immunotherapy with a standardized latex extract versus placebo in allergic healthcare workers. J Allergy Clin Immunol 2000, 106:585–590.

    Article  PubMed  CAS  Google Scholar 

  45. Levy DA, Leynadier F: Prevention of latex protein allergy. ACI Int 1999, 11:211–217.

    Google Scholar 

  46. National Institute for Occupational Safety and Health: Potential for allergy to natural rubber latex gloves and other natural rubber products. OSHA Technical Information Bulletin 1999.

  47. Tarlo SM, Easty A, Eubanks K, et al.: Outcomes of a natural rubber latex (NRL) control program in an Ontario teaching hospital [abstract]. J Allergy Clin Immunol 2000, 105:S372.

    Google Scholar 

  48. Bollinger ME, Mudd KE, Engle-Oliva DC, Hamilton RG: University hospital-based latex allergy screening program: follow-up study [abstract]. J Allergy Clin Immunol 2000, 105:S244.

    Google Scholar 

  49. Rueff F, Schopf P, Przybilla B: Parameters of natural rubber latex (NRL) sensitization decrease in health care workers (HCW) following reduction of NRL exposure [abstract]. J Allergy Clin Immunol 2000, 105:S246.

    Google Scholar 

  50. Ylitalo L, Turjanmaa K, Alenius H, et al.: Long-term outcome of children allergic to natural rubber latex [abstract]. J Allergy Clin Immunol 2000, 105:S245.

    Google Scholar 

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Levy, D.A., Leynadier, F. Latex allergy: Review of recent advances. Curr Allergy Asthma Rep 1, 32–38 (2001). https://doi.org/10.1007/s11882-001-0094-3

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