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Pillar 2 — Describe my situation

Latex and latex-fruit syndrome

Describe contact with latex or rubber, symptoms, delayed skin reactions and associated foods or plants.

Estimated progress

Read the patient information sheet “Latex and latex-fruit syndrome”

Pre-appointment form

One pathway in six sections

Your questionnaire

Step 1 of 6 · 17 %

1Identity, medical history and exposure factorsMedical and occupational context and previous procedures.
Regular occupational exposure to gloves?
Use of powdered gloves at work?
Spina bifida or congenital urinary or digestive malformation?
Multiple surgical procedures or repeated medical procedures?
Personal history of allergy
Family history of allergy or eczema?
2Timeline and circumstances of contactFirst episode, frequency, items involved and route of exposure.
Episode frequency
Materials or circumstances involved
How did contact occur?
How long after contact did symptoms begin?
3Symptoms and carePrevious symptoms, care received and any current warning signs.
Peau et muqueuses
Nose, eyes and breathing
General or digestive symptoms
What care was required?
Do you have an emergency kit?
Does it contain an adrenaline auto-injector?
Do you currently have symptoms after possible latex exposure?

For severe breathing difficulty, marked throat tightness, blue lips, confusion or loss of consciousness, call 15 or 112 immediately.

4Irritation, contact eczema and additivesImmediate or delayed reactions of the hands or contact areas.
Redness, dryness or cracks on the hands under gloves, without severe itching?
Persistent itching, redness or small blisters on contact areas?
Have you previously been told you reacted to a rubber additive?

Irritation, allergic contact eczema and immediate latex protein allergy can look similar. This form describes them without automatically distinguishing between them.

5Latex-fruit syndrome and plantsFoods or plants associated with symptoms during handling or ingestion.
Have you reacted to a food or plant in this section?

A food appearing in this list does not mean it should be avoided. Select only an observed reaction and discuss any avoidance with the healthcare professional.

6Previous tests and documentsSkin tests, blood tests, glove tests and reports to bring.
Have latex or food skin tests already been performed?
Blood test: latex-specific IgE or Hev b allergens?
Has a glove challenge / glove use test already been performed?

Your latex form

0 exposure(s), 0 symptom(s), 0 local file(s)

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