Severe Allergy in a Pregnant Woman after Vaginal Examination with a Latex GloveShingai Y. · Nakagawa K. · Kato T. · Fujioka T. · Matsumoto T. · Kihana T. · Noda K. · Mori T.
Feto-Maternal Division, Perinatal Center, and Ehime Prefectural Central Hospital, Matsuyama, Ehime, Japan
Do you have an account?
- Rent for 48h to view
- Buy Cloud Access for unlimited viewing via different devices
- Synchronizing in the ReadCube Cloud
- Printing and saving restrictions apply
Rental: USD 8.50
Cloud: USD 20.00
Article / Publication Details
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
- Nutter AF: Contact urticaria to rubber. Br J Dermatol 1979;101:597–598.
Stern G: Überempfindlichkeit gegen Kautschuk als Ursache von Urticaria und Quinckeschem Ödem. Klin Wochenschr 1927;6:1096–1097.
- Landwehr LP, Boguniewicz M: Current perspectives on latex allergy. J Pediatr 1996;128:305–312.
Garcia Ortiz JC, Moyano JC, Alvarez M, Bellido J: Latex allergy in fruit-allergic patients. Allergy 1998;297:1029.
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.
Turjanmaa K, Reunala T, Tuimala R, Karkkainen T: Allergy to latex gloves: Unusual complication during delivery. Br Med J 1988;297:1029.
- Fisher AA: Iatrogenic (intraoperative) rubber glove allergy and anaphylaxis. Part I. Cutis 1992;49:17–18.
Article / Publication Details
Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.