[Allergy and other skin reactions as a result of rubber gloves].

Tandlaegebladet Pub Date : 1992-02-01
B B Knudsen
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Abstract

Protective latex surgical gloves and examination gloves may cause allergic contact dermatitis, mainly due to rubber chemicals used in the manufacturing process. Latex proteins in the gloves may cause contact urticaria and even anaphylactoid reactions. Eighty-eight dentists and other members of the dental team were tested for contact allergy to thiuram- and mercapto-derivatives, and for contact-urticaria to latex proteins. All but 5 persons used gloves at least periodically. Fifty-one of 87 of the persons who answered a questionnaire had or had had symptoms from the skin on the hands, but in only 3 cases could allergy to the gloves be proved. Women had more often symptoms than men, and female dentists with symptoms used gloves more often and for longer periods than female dentists without symptoms. It can be concluded that redness of the skin, itching, vesicles and eczema are common symptoms reported in connection with use of gloves, but proved allergy to the gloves is rare. Most symptoms are supposed to be due to skin irritation from the gloves in addition to irritative exposure from handwashing and other chemical irritants in dental work. The nature of the irritative effect from gloves is only partly known and should be studied further.

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[橡胶手套引起的过敏和其他皮肤反应]。
防护乳胶手术手套和检查手套可能引起过敏性接触性皮炎,主要是由于制造过程中使用的橡胶化学品。手套中的乳胶蛋白可能引起接触性荨麻疹,甚至过敏反应。88名牙医和牙医小组的其他成员对硫脲和巯基衍生物进行了接触性过敏测试,并对乳胶蛋白进行了接触性荨麻疹测试。除5人外,所有人都至少定期使用手套。在87名回答调查问卷的人中,有51人有或曾经有过手部皮肤的症状,但只有3例可以证明对手套过敏。女性比男性更常出现症状,有症状的女牙医比没有症状的女牙医使用手套的次数和时间更长。可以得出的结论是,皮肤发红、瘙痒、水疱和湿疹是与使用手套有关的常见症状,但证明对手套过敏的情况很少见。大多数症状被认为是由于手套对皮肤的刺激,以及洗手和牙科工作中其他化学刺激物的刺激。手套的刺激作用的性质只是部分已知的,应该进一步研究。
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