

Allergy and Family Medicine
Albert H. Cobb, Jr., M.D.
F.A.A.O., F.A.A.O.A.
Adult and Pediatric Allergies

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Latex Allergies
Latex allergy, affecting about 16 million people in the U.S., is a sensitivity to proteins in natural rubber latex, which comes from the milky sap of rubber trees. Synthetic latex, such as in newspaper ink, coated papers, and latex paint, rarely causes allergic reactions.
Latex allergy is prevalent in people who are repeatedly in contact with latex products, affecting, or example, 5% to 15% of doctors and nurses probably due to constant use of latex gloves. Frequency of reactions has not been determined for occasional users of rubber gloves, such as police officers, ambulance attendants, firemen, funeral home workers, restaurant workers, and gardeners.
Natural latex may be found in around 40,000 common items, including:
Allergic symptoms range from irritating to life threatening, and become
progressively worse with repeated exposure. Symptoms usually occur with in
minutes of exposure, but can be delayed for several hours. They include (individually
or in combination):
Skin redness, itchy rashes, urticaria hives or welts, angeioedema
Runny nose, sneezing, nasal congestion (rhinitis)
Sore or scratchy throat, hoarse voice, coughing
Swelling, especially around the nose, mouth, and throat
Red, itching, or tearing eyes, conjunctivitis, periorbital edema
Chest tightness, wheezing, shortness of breath, asthma, rhinoconjunctivitis
Full-blown anaphylaxis (shock), which can cause flushed skin, vomiting,
cramps, difficulty breathing; swelling of the throat, tongue and nose, loss
of consciousness, and even death through suffocation or a severe drop in blood
pressure.
Populations at risk for developing latex allergies:
Patients with spina bifida and congenital genitourinary abnormalities
Health care workers (dentists, nurses, physicians,
lab workers, housekeepers)
Rubber industry workers
Atopic patients (asthma, rhinitis, eczema)
Patients who have undergone multiple procedures
Mistaken Identity
Those allergic to natural latex may have a cross-allergy
to some fruits and vegetables - their immune system confuses them with latex
allergens. That's because their amino acid sequences are very similar (after
all, natural latex comes from the RUBBER TREE):
