Case Report A 31‐year‐old atopic nurse presented with a typical history of being unable to use natural rubber latex (NRL) gloves. Her problems included urticaria on her hands. Her presumed allergy was confirmed when a RAST for NRL antibodies was found to be positive at level 2. She also gave a history of sometimes developing tingling and swelling of her lips when the latter came into contact with the inside of the wrapper of her favourite chocolate bar. Moreover, she stated that she was able to eat the chocolate bar itself without noticing any symptoms, provided that the wrapper never came into contact with her lips. The patient was given a wrapped chocolate bar and asked to demonstrate how she opened the wrapper. She did so by biting open the end of the wrapper with her teeth. When the smooth, inside, centre portion of the wrapper was held against her lip there was no visible reaction, although the patient complained of a little tingling at the site. When the procedure was repeated on another occasion, this time using the inside of the glued end‐section of the wrapper, a mild but definite urticarial eruption formed on the lip. The
Contact Dermatitis – Wiley
Published: Jan 1, 2001
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