PMID- 9676419 OWN - NLM STAT- MEDLINE DCOM- 19980924 LR - 20190826 IS - 0302-2838 (Print) IS - 0302-2838 (Linking) VI - 34 IP - 1 DP - 1998 TI - Comparison of questionnaire-based and serological screening for natural latex allergy in children with neurogenic bladder dysfunction. PG - 79-83 AB - OBJECTIVE: We evaluated the prevalence of sensitization to natural latex in children with congenital neurogenic bladder dysfunction by patient history and serological examinations. METHOD: 50 consecutive children aged from 6 months to 17 years were included into the study which comprised questionnaires of patient and family histories, serological screening tests for common inhalational allergens (CAP SX1), and determination of total serum immunoglobulin E (IgE) and of latex-specific serum IgE by solid-phase immunoassays. RESULTS: 5 children had a history of allergic reactions to natural latex; a history of atopic disposition or allergic reactions other than to latex was present in 16 children. In 10 children, latex-specific IgE levels were elevated: > 0.35 kU/l; 6 out of these 10 children had no history of allergic reactions to latex. Elevated latex-specific IgE values were statistically correlated with the number of past operations (p < 0.006) and a history of atopic or allergic reactions (p < 0.0067). Clean intermittent catheterization, however, was not associated with an increased risk of latex allergy (p = 0.408). CONCLUSION: When screening children with congenital neurogenic bladder dysfunction for sensitization to natural latex, serological examinations of latex-specific IgE in addition to patient history may better identify patients at risk. FAU - Zoller, G AU - Zoller G AD - Department of Urology, University of Gottingen, Germany. gzoeller@med.uni-goettingen.de FAU - Thermann, F AU - Thermann F FAU - Conrad, S AU - Conrad S FAU - Fuchs, T AU - Fuchs T FAU - Ringert, R H AU - Ringert RH LA - eng PT - Journal Article PL - Switzerland TA - Eur Urol JT - European urology JID - 7512719 RN - 0 (Allergens) RN - 0 (Latex) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Allergens MH - Child MH - Child, Preschool MH - Humans MH - Hypersensitivity/complications/*diagnosis MH - Hypersensitivity, Immediate/complications/diagnosis MH - Immunoglobulin E/blood MH - Infant MH - Latex/*adverse effects/immunology MH - Surveys and Questionnaires MH - Urinary Bladder, Neurogenic/*complications EDAT- 1998/07/24 02:07 MHDA- 2000/10/06 11:01 CRDT- 1998/07/24 02:07 PHST- 1998/07/24 02:07 [pubmed] PHST- 2000/10/06 11:01 [medline] PHST- 1998/07/24 02:07 [entrez] AID - eur34079 [pii] AID - 10.1159/000019666 [doi] PST - ppublish SO - Eur Urol. 1998;34(1):79-83. doi: 10.1159/000019666.