Prevalence of natural rubber latex allergy (type I and type IV) in laboratory workers in The Netherlands

Contact Dermatitis. 1998 Mar;38(3):159-63. doi: 10.1111/j.1600-0536.1998.tb05684.x.

Abstract

The objective of the study was to study the prevalence of Type IV and Type I allergy to natural rubber latex (NRL) in a population at risk in the Netherlands. Laboratory workers regularly using gloves were invited to complete a questionnaire and to be tested. We performed patch tests with standard contact allergens, rubber additives, glove powder and pieces of 4 gloves; prick tests with inhalant allergens, glove extracts, glove powder and fruit extracts; and RASTs. Glove-related hand dermatitis was reported in 36.9% of the individuals interviewed. A positive patch test result for rubber additives was seen in only 6.6%. Glove-related urticaria, rhinoconjunctivitis and/or asthma were reported in 24.6% of all cases. Confirmation of an IgE-mediated reaction was achieved in 8.3% by prick test with glove extracts and 5.0% by RAST. No reaction to glove powder was noticed in patch testing or in prick testing. A high prevalence rate of glove-related symptoms and NRL Type I allergy was found in laboratory workers exposed to rubber gloves. Surprisingly, there was no co-existence of Type I and Type IV allergy in this population.

MeSH terms

  • Adult
  • Dermatitis, Allergic Contact / epidemiology*
  • Dermatitis, Allergic Contact / etiology*
  • Dermatitis, Occupational / epidemiology*
  • Dermatitis, Occupational / etiology*
  • Female
  • Gloves, Protective / adverse effects
  • Hand Dermatoses / epidemiology
  • Hand Dermatoses / etiology
  • Humans
  • Intradermal Tests
  • Irritants / adverse effects*
  • Latex / adverse effects*
  • Male
  • Middle Aged
  • Netherlands / epidemiology
  • Occupational Exposure / adverse effects*
  • Patch Tests
  • Prevalence

Substances

  • Irritants
  • Latex