Experience of Operation for Two Cases with Latex Allergy

• Published in: Skin research Vol. 41; no. 3; pp. 319 - 323
• Main Authors: Akita Hirotaka, Matsunaga Kayoko, Tomitaka Akiko, Suzuki Kayoko, Ueda Hiroshi, Shiraki Makoto, Kawakami Masaharu, Kuno Takeo, Majima Yoshinao
• Format: Journal Article
• Language: Japanese
• Published: Meeting of Osaka Dermatological Association 1999; 日本皮膚科学会大阪地方会
• Subjects: atopic dermatitis; contact urticaria; latex allergy; non latex-products; operation; アトピ-性皮膚炎; ラテックスアレルギー; ラテックスフリ-製品; 手術; 接触蕁麻疹
• ISSN: 0018-1390; 1884-541X
• DOI: 10.11340/skinresearch1959.41.319

We report our experience of operations on two cases with latex allergy. Case 1 was a 29-year-old house wife who used to work as a nurse. She was performed a Cesareanoperation under a lumbar anesthesia. Case 2 was a 24-year-old nurse. She was performed an operation for a cataract under a local anesthesia. Both of them accompanied atopic dermatitis. Since they had been diagnosed as latex allergy before their operations, wecould avoid any immediate reactions to latex including anaphylaxis during and after their operations by eliminating latex products and using latex-free alternatives. Recently thenumber of the reports on latex allergy has been increasing, it is an urgent issue to set upa guideline to manage those patients including the emergency and operation manual forlatex allergy in Japan. Skin Research, 41: 319-323, 1999 ラテックスアレルギー (LA) 患者2例に対し手術を施行する機会を得たので報告する。症例1は29歳女性, 腰椎麻酔下帝王切開術を施行。症例2は24歳女性, 白内障手術を施行。2例ともアトピー性皮膚炎に罹患していた。症例1は元看護婦, 症例2は看護婦。術前に診断できたため手術中ならびに手術前後のアナフィラキシーショックの誘発にはいたらなかった。近年LAの報告は増えているが, 本邦では未だその認識は充分とは言えない。そのため今回のように他科の医師と協力し未然にショックの誘発を防ぐことが大切である。(皮膚, 41: 319-323, 1999)