Anaphylaxis triggered by prick test with latex extract: a case report

ABSTRACT CONTEXT: Adverse reactions associated with prick tests are rare but may be present as serious systemic reactions. CASE REPORT: A 38-year-old female nursing technician complained of three episodes of anaphylaxis in one year, all in the workplace. To investigate latex allergy, the patient underwent the prick test with latex, and immediately developed a rash, itchy skin, hoarseness, dyspnea and dry cough. Her condition improved promptly after appropriate measures were established for controlling her anaphylaxis. CONCLUSION: The skin test must be performed under medical supervision, since complications that can lead to life-threatening reactions, if support measures are not readily implemented, have been attributed to this test.

【背景摘要】：点刺试验（prick test）相关的不良反应虽较为罕见，但可能引发严重全身反应。
【病例报告】：38岁女性护理技术员自述一年内于工作场所共出现三次过敏性休克发作。为排查乳胶过敏（latex allergy），患者接受乳胶点刺试验时即刻出现皮疹、皮肤瘙痒、声音嘶哑、呼吸困难及干咳症状。经针对过敏性休克的恰当处置后，患者病情迅速好转。
【结论】：皮肤试验必须在医疗监护下开展，若未能及时实施支持治疗措施，该试验可能引发可导致致命性反应的并发症，此类并发症均与该试验相关。