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Medical Forum / Diseases and Disorders / AIDS / October 2004

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Is There Life After Latex Allergy?

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PaulKing - 07 Oct 2004 19:49 GMT
I thought it was time to focus once again on the emotional aspects of
living with a latex allergy. Like it or not, a diagnosis of latex allergy
means major lifestyle changes. The first reaction to the diagnosis may
very well be denial. (At least, that was my first reaction!) While
protective to the psyche, it’s dangerous to the body, since the allergy
continues to get worse with every exposure. So...is there life after latex
allergy?
The first hurdle is often facing disbelief from family, friends, and
coworkers. Sometimes, you may feel like no one believes you. Incidentally,
this doesn’t help you overcome your own denial either! Latex allergy has
come a long way in being taken seriously since the early 1990’s, but there
are still a lot of people who aren’t familiar with it. The other
contributing factor is that there are at least 56 different proteins in
latex that cause reactions. This means that people with the allergy may
react very differently from each other.
The next hurdle is avoiding the 40,000 different items that contain latex.
Granted, only a few of these will actually cause a reaction in most people
with the allergy, but the challenge is in identifying which ones. For
those with cross-reactions to foods such as bananas, kiwi, and avocado,
the challenge is even greater. (For more information on cross-reactivity
between latex and certain foods, click here ). This usually means a lot of
education and patient reminders to family and friends. (I haven’t reacted
to bananas as far as I can tell, but I try to avoid them just because of
the high incidence of cross-reactivity. My family still regularly offers
them to me, just because they forget!) The enormous amount of potential
allergens may also cause others to not take you seriously. Many of the
items that contain natural rubber latex are used routinely in everyday
life, and may be overlooked as a source of the allergen. For a list of
common household items, click here
If you’ve developed chronic asthma from your latex allergy, you have two
chronic illnesses to contend with! All of a sudden, you might have
multiple new medications to take, you might have to make a drastic career
change, and your activity might be limited because of asthma. (And you
wondered why you were feeling stressed!?)
So, how does one handle all these life changes, yet remain sane and
functional? My best advice is to join a local support group. Most states
have latex allergy support groups (click here for a list of contacts).
Even if there isn’t a group in your area, you can still become a member of
a national group (for example, the American Latex Allergy
Association-check out their website in my list of links), which entitles
you to receive research and legislative updates, and which gives you a
contact for answering questions. My life changed for the better on the day
that I first talked with a representative from my local group. She
affirmed everything I had been experiencing. I wasn’t crazy after all! I
remember the wonderful sense of relief that I wasn’t alone anymore, and
that others had already been through it and could give me advice. If there
isn’t a latex allergy group near you, then I suggest finding a group that
deals with chronic illnesses, or asthma if you have it. Anything that
allows you to meet others who are going through something similar will be
beneficial.
Once you feel “centered” again, I suggest getting involved. I’m now on the
Board of Directors for my local group, and it’s given me a sense of
empowerment and purpose. There’s still a lot of work to be done on latex
allergy in the research, legislative, and treatment areas. Even more so,
people who are at risk for latex allergy, and the public in general, need
to be educated. We could use your help!
If you’ve recently been diagnosed with latex allergy, take heart. It’s a
major life change, but not necessarily a completely negative one. You may
find strengths and other talents that you didn’t know you had! Hang in
there, and be secure in the fact that you’re not alone.
GMCarter - 07 Oct 2004 23:52 GMT
>I thought it was time to focus once again on the emotional aspects of
>living with a latex allergy.

It's good to be aware of ANY allergies a person may have. Fortunately,
condoms don't appear to be a source for the initiation of such
allergies.

        George M. Carter

**
Chen FC, Buscher U, Niggemann B. Condoms are not a risk factor for
sensitization to latex. Contraception. 2002 Dec;66(6):439-41.

Department of Obstetrics, Charite, Campus Virchow-Clinic of
Humboldt-University, Berlin, Germany.

The study was conducted to assess the prevalence of sensitization to
latex in a group of women with a high risk for atopy and to determine
whether the use of condoms is a relevant risk factor. In a prospective
study, 100 atopic women (defined as having specific IgE to common
aero- or nutritional allergens) were screened for specific IgE
antibodies to latex after delivery: Ten of the 100 women (10%) showed
specific IgE to latex. Total IgE concentrations were higher with a
history of occupational exposure or of symptoms after contact with
latex (p < 0.05, and p < 0.005, respectively), but condom users were
not significantly more frequent in the latex-positive group. Our
results indicate that prior use of condoms does not appear to be a
specific risk factor for sensitization to latex in post-partum women
at high-risk for atopy. Latex-free condoms should only be recommended
to women already known to be sensitized to latex. Copyright 2002
Elsevier Science Inc.

**
Preexisting latex allergies may be a trouble for pregnant women.

Chen FC, von Dehn D, Buscher U, Dudenhausen JW, Niggemann B. Atopy,
the use of condoms, and a history of cesarean delivery: potential
predisposing factors for latex sensitization in pregnant women. Am J
Obstet Gynecol. 1999 Dec;181(6):1461-4.

Department of Obstetrics, Charite, Campus Virchow-Klinikum, Humboldt
University, Berlin, Germany.

OBJECTIVE: Our purpose was to assess the prevalence of latex
sensitization among women admitted for delivery and the relevant risk
factors. STUDY DESIGN: In a prospective study 333 consecutive patients
admitted for delivery were screened for specific immunoglobulin E
antibodies to latex and for atopic status. A questionnaire was filled
in and included questions about the obstetric and surgical history,
known contact with latex, and previous use of condoms. RESULTS: Nine
of 333 (2.7%) women showed latex-specific immunoglobulin E. All 9
women had atopy (100% vs 26. 2% in the latex-negative group; P
<.00001). Of 8 patients with specific immunoglobulin E who gave
details about the use of condoms, 6 had had frequent contact with
latex condoms (75% vs 51%). Previous cesarean delivery was more
frequent in latex-sensitized patients (33% vs 8.4%; P <.05), whereas
previous pregnancies, previous deliveries, and total number of
operations had no influence. CONCLUSION: Given a prevalence of 2.7% of
latex sensitization, all obstetric patients should be questioned about
known immediate allergic reaction to latex, a predisposition to atopy,
previous intra-abdominal operations, and the regular use of condoms in
the past. Patients with atopy and additive risk factors should be
treated in a latex-free environment.
PaulKing - 08 Oct 2004 09:14 GMT
"It's good to be aware of ANY allergies a person may have. Fortunately,
condoms don't appear to be a source for the initiation of such
allergies."

Latex is latex. Gloves and condoms are almost EXACTLY the same.

Oh really!

According to FDA Medwatch data as far back as June 1996, there were 28
reported deaths and 225 anaphylactic events associated with latex products
in all settings.

Recent reports in the literature indicate
that from about 1 percent to 6 percent of the general population and about
8 percent to 12 percent of regularly exposed health care workers are
sensitized
to latex.

An estimated 17 million Americans are now sensitive to latex ( up from not
one recorded case twenty years ago).

(Kelley et al. 1996; Katelaris et al. 1996; Liss et al. 1997; Ownby et al.
1996; Sussman and Beezhold 1995).

_________

Warning labels follow almost a decade of increasing research and concern
by the FDA. From 1989 through 1990, patients began dying from anaphylactic
shock related to the use of barium enema kits with latex cuffs. As the
number of deaths increased during that period, the manufacturer
voluntarily recalled the devices and started using silicone cuffs. In 1990
through 1991, anaphylactic reactions to latex anesthesia equipment were
reported among children. The Center for Disease Control discovered that
all of the children who had reactions had spine bifida or other conditions
involving the genitourinary tract. Between 19XS and 1992, more than 1000
systemic allergic reactions to natural rubber, including 15 deaths,

The Medicaid Bulletin, Volume 111, Issue 11, Summer 1998

___________

Latex allergy poses a serious problem for nurses and other health care
workers; an estimated 8% to 17% of health care workers are allergic to
latex, compared with 1% to 6% of people in the general population.
According to a 1996 survey, 75% of U.S. hospitals employ workers with
diagnosed latex allergies, up from 62% in 1995.
 
Anaphylactic reactions to latex can be fatal: As of June 1996, 28
latex-related deaths had been reported to the Food and Drug Administration
(FDA).

SELECTED REFERENCES
Kelly, K.: "Management of the Latex Allergic Patient," Immunology and
Allergy Clinics of North America. 15(l):139-157, February 1995.
Kelly, K., et al.: "The Diagnosis of Natural Rubber Latex Allergy,"
Journal of Allergy and Clinical Immunology. 93(5):813816, May 1994.
Kim, K., et al.: "Diagnostic Evaluation of Type I Latex Allergy," Annals
of Allergy, Asthma, and Immunology. 80(l):66-70, January 1998.
Kim, K., et al.: "Implementation Recommendations for Making Health Care
Facilities Latex Safe," AORN Journal. 67(3):615632, March 1998.
 
SELECTED WEB SITES NIOSH's Latex Allergy Alert:
http://www.cdc.gov/niosh/latexalt.html
Foundation for Latex Allergy Research and Education: http://www.flare.org
Latex Allergy Links: http://www.netcom.com/-naml/latex-allergy.html
Latex Allergy Help: http://www.latexallergyhelp.com
Last accessed on August 24, 1998.
 
GMCarter - 08 Oct 2004 10:34 GMT
>"It's good to be aware of ANY allergies a person may have. Fortunately,
>condoms don't appear to be a source for the initiation of such
>allergies."
>
>Latex is latex. Gloves and condoms are almost EXACTLY the same.

Well, if your hands are as big as your penis, you must have trouble
picking stuff up.

And latex glove allergies are more often associated with people who
wear such gloves on a routine basis (e.g., EMA, food prep, etc.) There
are differences, gosh, golly, gee, in use of these different gloves.

You're peddling hysteria.

        George M. Carter
PaulKing - 09 Oct 2004 01:14 GMT
"

You're peddling hysteria."

From you that is hysterical.

People may wear gloves longer than condoms (I assume in your case you only
need them a few seconds) but as the rate toxins are absorbed through this
region is 200 greater, one hour of condom use is the same as 200 hours of
glove use.

In addittion the friction and added lubricants make the condom even worse
than this would suggest..
GMCarter - 09 Oct 2004 11:09 GMT
>People may wear gloves longer than condoms (I assume in your case you only
>need them a few seconds) but as the rate toxins are absorbed through this
>region is 200 greater, one hour of condom use is the same as 200 hours of
>glove use.

Oh, I'm sure I believe this factoid! lol...not.

>In addittion the friction and added lubricants make the condom even worse
>than this would suggest..

Dreadful. Penises are dropping off globally as even men's minds
approach the very THOUGHT of a condom.

You remind of me that whack job, Lorraine Day, who used to squeal that
HIV was SOOOO dangerous that if you even got NEAR one of those
infected people you'd be breathing your last.

Hey, Paul! I hear they're having a special on Grips at Home Depot!
Maybe you should invest in one.

        George M. Carter
PaulKing - 09 Oct 2004 22:49 GMT
"Penises are dropping off globally as even men's minds approach the very
THOUGHT of a condom."

Go check the statistics for the rise in penile cancers.

Look at ovarian and anal cancers at the same time.

You are SUCH an idiot.
 
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