Sami ÖZTÜRK, A. Zafer ÇALIŞKANER, Mehmet KARAAYVAZ, Mustafa GÜLEÇ, Özgür KARTAL, Fuat EREL

Kronik hastalar ve sağlık çalışanlarını bekleyen tehlike: Lateks alerjisi

Lateks allerjisi, lateks allerjenleri ile yüksek oranda karşılaşan sağlık çalışanları ve kronik hastalarda sık gözlenen, son zamanlarda epidemik olarak rastlanan yeni bir hastalıktır. Lateks’e bağlı anafilaktik reaksiyonlara ise sporadik olarak rastlamaktayız. Lateks allerjisinin meydana gelmesinde en büyük risk faktörü, lateks içeren cerrahi eldivenlerin ve kataterlerin yoğun olarak kullanılması, allerjik bünye, ekzema, bayan cinsiyet, geçirilmiş cerrahi girişimler ve diş tedavisi yer almaktadır. Ayrıca lateks allerjisi ile bazı meyvelerde(muz, kivi, avokado, ananas, vb.) bulunan allerjenlerin arasında çapraz reaksiyon olduğu da bilinmektedir. Lateks allerjisi, klinik olarak basit dermatolojik yakınmalardan anafilaksi gibi hayatı tehdit eden reaksiyonların oluşmasına kadar değişebilen klinik tablolara neden olabilmektedir. Çalışmamızda kan verme ünitesinde çalışan ve atopi öyküsü olmayan 24 yaşındaki bir hemşire ile, 32 yaşında İVF tedavisi planlanan, tekrarlayan medikal girişimleri bulunan ve en son olduğu konka operasyonunda lateks içeren eldivenlere bağlı sistemik lateks allerjisi gelişen olguyu sunmaktayız.

Anahtar Kelimeler:

Kadın, Risk faktörleri, Erişkin, Gıda allerjisi, Genç erişkin, Lateks aşırı duyarlılığı, Aşırı duyarlılık

Latex allergy, a special risk for patients with chronic illness and health care workers

Natural rubber latex allergy is a new illness whose prevalence has reached epidemic proportions in highly exposed populations such as health care workers and who has chronic illness. After anaphylactic type reactions due to latex has been shown as case reports. The major risk factors in latex are intense exposure to latex allergens (surgical gloves, catheters, etc), atopy, hand eczema, female gender, history of multiple operations and dental interventions. An association between latex allergy and allergy to various fruits (banana, kiwi, avocado, pineapple, etc) has been reported. Latex allergy is responsible for a wide spectrum of clinical symptoms ranging from a mild dermatitis to severe anaphylaxis. In this report, we present that latex related systemic allergic reactions cases; the first one is 24 years old nurse woman who is working at the blood bank in our hospital and the other one is 32 years old woman patient who has repeatative medical examination, and in vitro fertilisation therapy plan and suffered for systemic allergic reaction due to latex gloves which was used in her last concha operations.

Keywords:

Female, Risk Factors, Adult, Food Hypersensitivity, Young Adult, Latex Hypersensitivity, Hypersensitivity,

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