Allergic and irritant reactions to rubber gloves in medical health services

Ortodontik tedavide karşılaşılan allerjik reaksiyonlar

“…9 Latekse immün aracılı reaksiyonların %84'ü tip 4 reaksiyondur. 13 Tip 4 reaksiyonun bulguları şişme, eritem, kaşıntı, derinin çatlaması ve vezikülasyonu içermektedir. Klinik hikaye belirsizse patch testi yararlı olabilmektedir.…”

Occupational allergies caused by latex

“…Cutaneous reactions to natural rubber latex most often involve dermatitis of the hands, wrists, or forearms [38,39]. These reactions include irritant contact dermatitis, allergic contact dermatitis, protein contact dermatitis, or contact urticaria.…”

“…Irritant contact dermatitis usually is caused by multiple irritants, such as hand washing, moisture trapped inside gloves, occlusion, friction, glove-donning powder, or other irritating chemicals [39,41]. Irritant contact dermatitis is not an immunologic reaction; it results from direct injury of the epidermis [40].…”

“…The most common culprits are accelerators, especially thiurams and carbamates [39,43,44]. The para-phenylenediamine group includes the most common sensitizers for allergic contact dermatitis to industrial rubber (eg, the rubber tire industry) [39].…”

HETA 99-0035-2757, LDS Hospital/Intermountain Health Care, Salt Lake City, Utah.

“…Exposure to other workplace products and chemicals, as well as repeated hand washing and drying, may contribute to this problem. 45 Allergic contact dermatitis is a Type IV delayed hypersensitivity reaction to chemicals added to natural latex during harvesting, processing, or manufacturing. These additives include thiurams, mercaptobenzothiazoles and carbamates.…”