AJR ARRS Membership
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ownby, D. R.
Right arrow Articles by McCullough, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ownby, D. R.
Right arrow Articles by McCullough, J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?

American Journal of Roentgenology, Vol 156, 903-908, Copyright © 1991 by American Roentgen Ray Society

ARTICLES

Anaphylaxis associated with latex allergy during barium enema examinations

DR Ownby, M Tomlanovich, N Sammons and J McCullough
Department of Medicine, Henry Ford Hospital, Detroit, MI 48202.

During the interval from January 1989 to March 1990, signs and symptoms of anaphylaxis developed in six patients during barium enema examinations in our institution. In all six cases the symptoms of anaphylaxis began during the procedure, usually within 10 min of starting the examination. The principal manifestation of anaphylaxis was severe hypotension, usually accompanied by edema and urticaria. The symptoms were considered potentially life threatening in all patients, and one patient died despite prompt recognition of the anaphylactic nature of the reaction and resuscitative efforts. Serum samples were obtained within a few hours of the reaction in two patients and at autopsy in the fatal case: all three samples showed elevated concentrations of mast cell tryptase, demonstrating the systemic release of anaphylactic mediators. In vitro tests demonstrated the presence of immunoglobulin E antibodies specific for latex allergens in five of the six cases. Further in vitro inhibition tests confirmed the specificity of the antibodies for latex allergens and demonstrated that similar allergens were found in both raw latex, latex gloves, and catheter balloons. Only one patient was willing to undergo a skin test, and her skin test was positive for extracts of latex products. After considering multiple possibilities, we conclude that the reactions associated with barium enemas observed in these six patients are most probably the result of latex allergy.
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Am. J. Respir. Crit. Care Med.Home page
C. L. Hardy, L. Kenins, A. C. Drew, J. M. Rolland, and R. E. O'Hehir
Characterization of a Mouse Model of Allergy to a Major Occupational Latex Glove Allergen Hev b 5
Am. J. Respir. Crit. Care Med., May 15, 2003; 167(10): 1393 - 1399.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
G. Patriarca, E. Nucera, A. Buonomo, M. Del Ninno, C. Roncallo, E. Pollastrini, T. De Pasquale, A. Milani, and D. Schiavino
Latex Allergy Desensitization by Exposure Protocol: Five Case Reports
Anesth. Analg., March 1, 2002; 94(3): 754 - 758.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
N. Muroi, M. Nishibori, T. Fujii, M. Yamagata, S. Hosoi, N. Nakaya, K. Saeki, and K. Henmi
Anaphylaxis from the Carboxymethylcellulose Component of Barium Sulfate Suspension
N. Engl. J. Med., October 30, 1997; 337(18): 1275 - 1277.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1991 by the American Roentgen Ray Society.