Medical Forum / Diseases and Disorders / AIDS / October 2004
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
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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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