RESUMO
We present a case of a healthcare professional that developed type I and IV hypersensitivity reactions to rubber. During the clinical examination the patient showed eczematous dermatitis of the hands. The patch test was positive for thiuram group and an open test with a piece of glove was positive after 20 minutes of exposure. Allergen-specific IgE test (RAST) was relevant. Reactions to rubber allergens are frequent among healthcare professionals due to constant contact with this material.
Assuntos
Dermatite Alérgica de Contato/etiologia , Dermatite Ocupacional/etiologia , Hipersensibilidade Imediata/etiologia , Borracha/efeitos adversos , Urticária/etiologia , Adulto , Dermatite Alérgica de Contato/diagnóstico , Dermatite Ocupacional/diagnóstico , Feminino , Pessoal de Saúde , Humanos , Hipersensibilidade Imediata/diagnóstico , Imunoglobulina E/sangue , Testes do Emplastro/métodos , Urticária/diagnósticoRESUMO
Apresenta-se o caso de uma profissional da área da saúde que desenvolveu reação de hipersensibilidade dos tipos I e IV à borracha. O quadro clínico mostrava dermatite eczematosa no dorso das mãos. O teste de contato foi positivo para o grupo tiuram, assim como o teste aberto com fragmento de luva após exposição de 20 minutos. A dosagem de IgE sérica (Rast) mostrou-se relevante. As reações aos alérgenos da borracha são frequentes entre os profissionais da saúde, devido ao contato constante com esse material.
We present a case of a healthcare professional that developed type I and IV hypersensitivity reactions to rubber. During the clinical examination the patient showed eczematous dermatitis of the hands. The patch test was positive for thiuram group and an open test with a piece of glove was positive after 20 minutes of exposure. Allergen-specific IgE test (RAST) was relevant. Reactions to rubber allergens are frequent among healthcare professionals due to constant contact with this material.
