Anaphylaxis triggered by prick test with latex extract

a case report

Authors

Keywords:

Latex hypersensitivity, Diagnostic test, routine, Anaphylaxis

Abstract

CONTEXT: Adverse reactions associated with prick tests are rare but may be present as serious systemic reactions. CASE REPORT: A 38-year-old female nursing technician complained of three episodes of anaphylaxis in one year, all in the workplace. To investigate latex allergy, the patient underwent the prick test with latex, and immediately developed a rash, itchy skin, hoarseness, dyspnea and dry cough. Her condition im-proved promptly after appropriate measures were established for controlling her anaphylaxis. CONCLUSION: The skin test must be performed under medical supervision, since complications that can lead to life-threatening reactions, if support measures are not readily implemented, have been attributed to this test.

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Author Biographies

Leonardo Oliveira Mendonça, Universidade de São Paulo

MD. Postgraduate Fellow, Clinical Immunology and Allergy Division, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.

Cynthia Mafra Fonseca de Lima, Universidade de São Paulo

MD, MSc. Physician and Doctoral Student, Clinical Immunology and Allergy Division, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.

Priscilla Rios Cordeiro Macedo, Universidade de São Paulo

MD. Physician and Master’s Student, Clinical Immunology and Allergy Division, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil

Victor do Espirito Santo Cunha

MSc, PhD. Veterinarian and Research & Development Manager, Immunotech Laboratories, FDA-Allergenics, Rio de Janeiro (RJ), Brazil.

Ruppert Ludwig Hahnstadt, FDA-Allergenics

Pharm, MSc. Pharmacist and Head Director, Immunotech Laboratories, FDA-Allergenics, Rio de Janeiro (RJ), Brazil.

Jorge Kalil, Universidade de São Paulo

MD, PhD. Full Professor, Clinical Immunology and Allergy Division, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil

Clóvis Eduardo Santos Galvão, Universidade de São Paulo

MD, PhD. Attending Physician, Clinical Immunology and Allergy Division, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil

References

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Lockey RF, Benedict LM, Turkeltaub PC, Bukantz SC. Fatalities from immunotherapy (IT) and skin testing (ST). J Allergy Clin Immunol. 1987;79(4):660-77. PMID: 3559001.

Kahn SL, Podjasek JO, Dimitropoulos VA, Brown CW Jr. Natural rubber latex allergy. Dis Mon. 2016;62(1):5-7. doi: 10.1016/j.disamonth.2015.11.002.

Reid MJ, Lackey RF, Turkeltaub PC, Platts-Mills TA. Survey of fatalities from skin testing and immunotherapy 1985-1989. J Allergy Clin Immunol. 1993;92(1 Pt 1):6-15. PMID: 8335856.

Bernstein DI, Wanner M, Borish L, Liss GM; Immunotherapy Committee, American Academy of Allergy, Asthma and Immunology. Twelve-year survey of fatal reactions to allergen injections and skin testing: 1990-2001. J Allergy Clin Immunol. 2004;113(6):1129-36. doi: 10.1016/j. jaci.2004.02.006.

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Published

2019-06-06

How to Cite

1.
Mendonça LO, Lima CMF de, Macedo PRC, Cunha V do ES, Hahnstadt RL, Kalil J, Galvão CES. Anaphylaxis triggered by prick test with latex extract: a case report. Sao Paulo Med J [Internet]. 2019 Jun. 6 [cited 2025 Mar. 9];137(3):295-7. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/892

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Section

Case Report