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    Case report: acute facial swelling in a recreational technical diver

    Access Status
    Fulltext not available
    Authors
    Buzzacott, Peter
    Dolen, W.
    Chimiak, J.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Buzzacott, P. and Dolen, W. and Chimiak, J. 2017. Case report: acute facial swelling in a recreational technical diver. Physiological Reports. 5 (7).
    Source Title
    Physiological Reports
    DOI
    10.14814/phy2.13240
    ISSN
    2051-817X
    School
    School of Nursing, Midwifery and Paramedicine
    URI
    http://hdl.handle.net/20.500.11937/72374
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society. A recreational scuba diver wore a second scuba regulator against his face during a scuba dive, attached by an elastic rubber cord necklace. After surfacing, the diver's left face became swollen. Through a process of elimination all other items of scuba equipment were excluded as potential causes. A dive with the same equipment minus the necklace confirmed the involvement of the necklace in the pathogenesis of the hypersensitive reaction. In vitro ImmunoCap IgE assay was positive to latex (1.30 kUa/L), subsequent patch testing for contact dermatitis provoked a reaction for benzophenone-4, (a UV stabalizer) and Fourier Transform Infra Red spectroscopy identified the elastic as ethylene propylene rubber, containing additional unidentified compounds. Allergy to natural rubber latex occurs in as many as 6% of Americans and Australians. Around three million American residents are thought to scuba dive each year. Recreational divers are, therefore, advised to check such necklaces, which are typically worn around the throat, for frayed ends and exposed rubber filaments.

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