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Hairdressers at increased risk of allergy to neuromuscular blockers during anaesthesia

Hairdressers at increased risk of allergy to neuromuscular blockers during anaesthesia
Allergy and anaphylaxis to neuromuscular blocking agents during anaesthesia often occurs with the first anaesthetic suggesting that sensitisation to cross-reacting allergens preceeds surgery. The paper provides an explanation showing cross-reaction between neuromucular blocking agents and quaternary ammonium compounds in hairdressers. IgE antibodies to quaternary ammonium compounds were present in 7.4% of hairdressers at the end of a 2 year apprenticeship compared with 1.6% of baking apprentices and 1.6 % of retail apprentices. The quarternary ammonium compounds were present in a wide range of shampoos and hair conditioners used by the hairdressers.

References

Abstract Available for Prevalence of IgE against neuromuscular blocking agents in hairdressers and bakers Dong S, Acouetey DS, Guéant-Rodriguez R-M, Zmirou-Navier D, Rémen T, Blanca M, Mertes PM, Guéant J-L, Prevalence of IgE against neuromuscular blocking agents in hairdressers and bakers, Clin Exp Allergy, 2013;43:1256-1262,

Comments

I was exposed to chemical at GM and have multiple lung diseases and neuromuscular disease. I take over 20 meds. I seen dr Michael Harbut in Royal Oak Mi but due to illness he had to retire. I've been looking for a occupational lung doctor. My illness is extremely complicated.
Thank you
11/29/2013

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