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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Red Mark On Cheek, Hot, Swollen, Blisters. Latex Allergy Or Chemical Burn?

My daughter went to the dentist a week ago. By the evening she had a red mark on her cheek, middle of the night it was hot and swell on, by morning it was covered in blisters. We took her to her pediatrician and he put her on a topical antibiotic and hydrocortisone cream which has been working great. The dentist said it was a latex allergy but I think it s chemical burn . What do you think it is?
Fri, 9 Nov 2012
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Allergist and Immunologist 's  Response
Hello,
Obviously after a visit to the dentist and an allergic reaction a few hours later, you are dealing with allergies due to various allergens (depending on the exact circumstances) such as:
1. latex gloves - usually used for examinations
2. antibiotics - if given before procedure
3. aspirin or NSAID based gargle or mouthwashes
4. chlorhexidine mouthwash
5. local anaesthetics
Keeping in mind the above possibilities, your dentist now needs to exclude which ever ones he thinks not possible (as your daughter was not exposed to) and a skin prick test should be the follow up test after this. Latex allergy can be checked with a blood test for specific IgE and so can chlorhexidine.
I hope that was useful.
Thanks.
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Red Mark On Cheek, Hot, Swollen, Blisters. Latex Allergy Or Chemical Burn?

Hello, Obviously after a visit to the dentist and an allergic reaction a few hours later, you are dealing with allergies due to various allergens (depending on the exact circumstances) such as: 1. latex gloves - usually used for examinations 2. antibiotics - if given before procedure 3. aspirin or NSAID based gargle or mouthwashes 4. chlorhexidine mouthwash 5. local anaesthetics Keeping in mind the above possibilities, your dentist now needs to exclude which ever ones he thinks not possible (as your daughter was not exposed to) and a skin prick test should be the follow up test after this. Latex allergy can be checked with a blood test for specific IgE and so can chlorhexidine. I hope that was useful. Thanks.