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Food handlers' gloves trigger latex allergy

NEW YORK, (Reuters Health) -- Food that is exposed to latex -- a common allergen -- may cause similar allergic reactions as latex products themselves, a new case study suggests.

Writing in this week's issue of The New England Journal of Medicine, two Boston researchers report on the case of a woman who suffered allergic reactions as a result of foods she ate in restaurants or purchased in markets where the food was handled by employees wearing latex gloves.

The new findings suggest that food workers should follow the lead set by the healthcare field and eliminate all products made of latex, conclude Dr. William Franklin of Massachusetts General Hospital, and Dr. Josephine Pandolfo, a dentist at Beth Israel Deaconess Medical Center.

Latex is found in as many as 40,000 consumer products, including condoms, balloons, athletic shoe soles, tires, underwear, rubber toys, and pacifiers. Additionally, latex rubber can be found in many medical supplies including disposable gloves, intravenous tubes, syringes, stethoscopes, and bandages.

According to the American Academy of Allergy, Asthma and Immunology (AAAAI), at least 1% of people in the United States have latex allergies. The first sign of latex allergy is usually a poison ivy-like rash that appears 12 to 36 hours after contact with latex. Itching, redness, swelling, sneezing, and wheezing and coughing may also occur, according to the AAAAI.

The woman, a periodontist, first developed latex allergy "about 5 years after she began to use latex gloves routinely in her work," according to the report. As a result, she removed all latex products from her office. But during the past 7 years, she noticed her symptoms would recur when she ate food from restaurants or markets where food handlers wore latex gloves. "She did not have a reaction to these same foods when they had not come in contact with latex," the researchers write.

To test the theory, the investigators asked the woman to drink orange juice on two different occasions. On one occasion, the juice was stirred with a latex glove. "Within 35 minutes after drinking the juice stirred with latex, she had wheezing, tightness of the chest, and flushing of the face and lips," they report. She was immediately treated with medications to alleviate these symptoms.

"The elimination of latex, which is already under way in the healthcare environment, should also be extended to the food-handling environment, to protect (allergic) consumers," Franklin and Pandolfo conclude.


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