Anaphylaxis associated with latex allergy during barium enema examinations

Dennis Randall Ownby, M. Tomlanovich, N. Sammons, J. McCullough

Research output: Contribution to journalArticle

168 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)903-908
Number of pages6
JournalAmerican Journal of Roentgenology
Volume156
Issue number5
StatePublished - Jan 1 1991
Externally publishedYes

Fingerprint

Latex Hypersensitivity
Anaphylaxis
Latex
Allergens
Skin Tests
Tryptases
Antibody Specificity
Urticaria
Hypotension
Immunoglobulin E
Signs and Symptoms
Barium Enema
Autopsy
Edema
Catheters
Antibodies
Serum

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Anaphylaxis associated with latex allergy during barium enema examinations. / Ownby, Dennis Randall; Tomlanovich, M.; Sammons, N.; McCullough, J.

In: American Journal of Roentgenology, Vol. 156, No. 5, 01.01.1991, p. 903-908.

Research output: Contribution to journalArticle

Ownby, DR, Tomlanovich, M, Sammons, N & McCullough, J 1991, 'Anaphylaxis associated with latex allergy during barium enema examinations', American Journal of Roentgenology, vol. 156, no. 5, pp. 903-908.
Ownby, Dennis Randall ; Tomlanovich, M. ; Sammons, N. ; McCullough, J. / Anaphylaxis associated with latex allergy during barium enema examinations. In: American Journal of Roentgenology. 1991 ; Vol. 156, No. 5. pp. 903-908.
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