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Case Report

Severe Allergy in a Pregnant Woman after Vaginal Examination with a Latex Glove

Shingai Y. · Nakagawa K. · Kato T. · Fujioka T. · Matsumoto T. · Kihana T. · Noda K. · Mori T.

Author affiliations

Feto-Maternal Division, Perinatal Center, and Ehime Prefectural Central Hospital, Matsuyama, Ehime, Japan

Related Articles for ""

Gynecol Obstet Invest 2002;54:183–184

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: March 18, 2002
Accepted: September 30, 2002
Published online: February 14, 2003
Issue release date: February 2003

Number of Print Pages: 2
Number of Figures: 0
Number of Tables: 1

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: https://www.karger.com/GOI

Abstract

Recently case reports about latex allergy were increased. We have experienced severe latex allergy in a pregnant women after vaginal examination with a latex glove. A 33-year-old woman, 38 weeks pregenant, was hospitalized for management of fetal IUGR. She underwent a vaginal examination with a latex glove and soon developed severe anaphylactic reactions. Although two hours later her condition had remarkably improved, regular uterine contractions appeared, and fetal cardiotocogram showed late decelerations. So emergency cesarean section was performed under the situation without using any latex products. She delivered a male infant weighing 2,227 g (–2.21 SD) at 38 weeks gestation. His Apgar score was 5 points at 1 min and 8 points at 5 min. The latex-specific IgE of this patient was high and IgE for banana, avocado and kiwi were also positive. These foods showed cross-reactions with latex, but she had no history of allergic reactions against these foods. She had a history of atopic reactions and of atopic dermatitis while working as a nurse at the ICU. It is thought that this patient was in the high-risk group.

© 2002 S. Karger AG, Basel


References

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  2. Stern G: Überempfindlichkeit gegen Kautschuk als Ursache von Urticaria und Quinckeschem Ödem. Klin Wochenschr 1927;6:1096–1097.
  3. Landwehr LP, Boguniewicz M: Current perspectives on latex allergy. J Pediatr 1996;128:305–312.
  4. Garcia Ortiz JC, Moyano JC, Alvarez M, Bellido J: Latex allergy in fruit-allergic patients. Allergy 1998;297:1029.
  5. Santos R, Hernández-Ayup S, Galache P, Morales FG, Batiza VA, Montoya D II: Severe latex allergy after vaginal examination during labor: A case report. Am J Obstet Gynecol 1997;177:543–1544.
  6. Turjanmaa K, Reunala T, Tuimala R, Karkkainen T: Allergy to latex gloves: Unusual complication during delivery. Br Med J 1988;297:1029.
  7. Fisher AA: Iatrogenic (intraoperative) rubber glove allergy and anaphylaxis. Part I. Cutis 1992;49:17–18.

Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: March 18, 2002
Accepted: September 30, 2002
Published online: February 14, 2003
Issue release date: February 2003

Number of Print Pages: 2
Number of Figures: 0
Number of Tables: 1

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: https://www.karger.com/GOI


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