Concomitant chronic spontaneous urticaria treatment might hinder the diagnosis of occupational latex-induced anaphylaxis: A case report
Issued Date
2025-09-01
Resource Type
ISSN
0125877X
eISSN
22288694
Scopus ID
2-s2.0-105020702219
Pubmed ID
34953476
Journal Title
Asian Pacific Journal of Allergy and Immunology
Volume
43
Issue
3
Start Page
636
End Page
639
Rights Holder(s)
SCOPUS
Bibliographic Citation
Asian Pacific Journal of Allergy and Immunology Vol.43 No.3 (2025) , 636-639
Suggested Citation
Lertvipapath P., Taweechue A.J., Wongsa C., Thongngarm T., Uawattanasakul W., Sompornrattanaphan M. Concomitant chronic spontaneous urticaria treatment might hinder the diagnosis of occupational latex-induced anaphylaxis: A case report. Asian Pacific Journal of Allergy and Immunology Vol.43 No.3 (2025) , 636-639. 639. doi:10.12932/ap-050521-1126 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113020
Title
Concomitant chronic spontaneous urticaria treatment might hinder the diagnosis of occupational latex-induced anaphylaxis: A case report
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Corresponding Author(s)
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Abstract
Background: Cutaneous manifestations of chronic spontaneous urticaria (CSU) are identical to type 1 hypersensitivity reactions. The daily occurrence of rash from occupational allergy could be misinterpreted as CSU exacerbation. Objective: We aim to report a nurse with concomitant CSU suffering from latex-induced anaphylaxis. Method: Skin tests, specific IgE using ImmunoCAP, and gloves challenge were performed. Result: A 27-year-old nurse with CSU suffered from several episodes of severe urticarial flare. H1-antihistamine up-dosing and oral corticosteroid burst were given. Unfortunately, she developed 3 episodes of anaphylaxis during her routine nursing care work on a medical ward, leading to allergist consultation. She had positive latex-specific IgE (6.86 kUA/L) and positive gloves challenge test. Conclusion: Concomitant CSU treatment might hinder the recognition of latex allergy by masking or delaying skin manifestations. IgE-mediated allergy should be suspected if there was a change in severity or frequency of previously controlled CSU or the presence of systemic symptoms.