Palacos cement contains peanut oil. The manufacturer's instruction states that its use is contraindicated in patients allergic to peanuts. Awareness of this fact by orthopaedic surgeons was evaluated by postal questionnaire, which showed that 73% of those responding were not aware. However, on the basis of the available evidence in the literature, the clinical relevance of the manufacturer's advice appears dubious.
BockS.A., AtkinsF.M.. The natural history of peanut allergy.J Allergy Clin Immunol1989; 83: 900–4.
2.
SampsonH.A., ScanlonS.M.. Natural history of food hypersensitivity in children with atopic dermatitis.J Pediatr1989; 115: 23–7.
3.
Hashemi-NejadA., BirchN.C., GoddardN.J.. Current attitudes to cementing techniques in British hip surgery.Ann R Coll Surg Engl1994; 76: 396–400.
4.
BestA.J., FenderD., HarperW.M., McCaskieA.W., OliverK., GreggP.J.. Current practice in primary total hip replacement: results from the National Hip Replacement Outcome Project.Ann R Coll Surg Engl1998; 80: 350–5.
BrownH.M.. Allergenic peanut oil in milk formulas.Lancet1991; 338: 1523.
7.
de MontisG., TruongM., ToussaintB., BermanD., ToudoireC.. Peanut sensitization and oily solution vitamin preparations.Arch Pediatr1995; 2: 25–8.
8.
TaylorS.L., BusseW.W., SachsM.I., ParkerJ.L., YungingerJ.W.. Peanut oil is not allergenic to peanut-sensitive individuals.J Allergy Clin Immunol1981; 68: 372–5.
9.
HourihaneJ.O., BedwaniS.J., DeanT.P., WarnerJ.O.. Randomised, double-blind, crossover challenge study of allergenicity of peanut oils in subjects allergic to peanuts.BMJ1997; 314: 1084–8.
10.
OlszewskiA., PonsL., MoutétéF., Aimone-GastinI., KannyG., Moneret-VautrinD.A., GuéantJ.L.. Isolation and characterization of proteic allergens in refined peanut oil.Clin Exp Allergy1998; 28: 850–9.
HourihaneJ.B., KilburnS.A., NordleeJ.A., HefleS.L., TaylorS.L., WarnerJ.O.. An evaluation of the sensitivity of subjects with peanut allergy to very low doses of peanut protein: a randomized, double-blind, placebo- controlled food challenge study.J Allergy Clin Immunol1997; 100: 596–600.
13.
UK Department of Health.Peanut allergy. Report of a working party on peanut allergy of the committee on the toxicity of chemicals in food, consumer products and the environment1998.
14.
EmmettS.E., AngusF.J., FryJ.S., LeeP.N.. Perceived prevalence of peanut allergy in Great Britain and its association with other atopic conditions and with peanut allergy in other household members.Allergy1999; 54: 380–5.
