Latex allergy
During the last 15 years natural rubber latex (NRL) allergy has become
a serious worldwide health problem. Up to 17% of healthcare workers and
about 1% of the general population are allergic to natural rubber
latex. While contact urticaria is the most common clinical
manifestation of NRL allergy, the disease may be presented in its most
serious form as anaphylaxis, a life threatening systemic reaction. NRL
based medical devices (gloves, masks, etc.) are a potential source of
sensitisation to both healthcare personnel and patients. Potentially,
anyone in contact with objects containing NRL (e.g. gloves, condoms,
catheters, dental dams, balloons, toys etc.) can become sensitised. On
the other hand, there are several risks (HIV etc) threatening
healthcare workers, and the reason of using of medical devices is
unavoidable. A long list of the latex products are in daily use.
Natural rubber latex allergens Liquid latex
from the rubber tree, Hevea brasiliensis, is the source of NRL and
contains over 200 proteins; only 13 of them have been identified as
allergens. Only some allergens retain their allergenic properties
through the manufacturing processes. Thus, when trying to reduce the
allergenicity of NRL products, any good testing method must measure all
components with clinical relevance present in the final product. The
NRL allergens that have been shown to be clinically relevant to genuine
NRL allergy, and present in the final NRL products with maintained
allergenicity are Hev b 1, Hev b 3, Hev b 5 and Hev b 6.02. According to latest studies, quantification of these four major allergens shows the allergenic potential of rubber products.
References
- Turjanmaa, K. et al., Allergy 51 (1996) 593 – 602;
- Liss, G. M. and Sussman, G. L., Am. J. Ind. Med. 35 (1999) 196 –200
- Poley Jr, G. E. and Slater, J. E., J. Allergy Clin. Immunol. 105 (1997) 1054 – 1062
- Palosuo, T. Alenius, H. Turjanmaa, K: Quantification of Latex Allergens. Methods 27 2002; 52-58
- Palosuo, T. et al, Latex allergy: the sum quantity of four major allergens shows the allergenic potential of medical gloves. Allergy, 2007, 62:781-786
- International Union of Immunological Societies allergens list: http://www.allergen.org. (Home> Plantae magnoliopsida > Malphigales > Hevea brasiliensis)

