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胶乳是过敏反应的重要原因之一。作者报告一例胶乳过敏者接种乙型肝炎疫苗后发生过敏反应。 患者44岁,女性,常规接种首剂乙型肝炎疫苗后不久出现轻度过敏反应,面部和颈部出现血管神经性水肿,躯干和肢体亦出现过敏性荨麻疹,用抗组胺药治疗有效。血压恢复正常,皮疹消退。患者一年前在子宫切除术期间发生过敏。后来根据皮肤划痕试验阳性、对胶乳特异性IgE的放射变应原吸附试验和高浓度IgE而确定为胶乳过敏。患者亦有橡胶接触性过敏史,回顾性调查认为手术期间过敏是由后者所致。患者平素身体健康,未使用任何药物,无药物过敏史,亦无过敏反应或血管神经性水肿的家族史。
Latex is one of the important causes of allergic reactions. The authors report that an allergic case of latex allergy suffers from an allergic reaction to hepatitis B vaccine. 44-year-old female, mild allergic reaction shortly after routine immunization of the first dose of hepatitis B, neurogenic edema of the face and neck, anaphylactic urticaria also appeared on the trunk and limb, and was effective with antihistamines. Blood pressure returned to normal, rash subsided. The patient had an allergy during a hysterectomy a year ago. Later, according to the scratch test positive skin latex-specific IgE radioactive allergen adsorption test and high concentration of IgE identified as latex allergy. Patients also have a history of rubber contact allergies, a retrospective survey that the allergy caused by the latter during surgery. Patients usually have good health, no medication, no history of drug allergy, and no family history of anaphylaxis or angioedema.