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Kotz, S.* ; Pechtold, L. ; Jörres, R.A.* ; Nowak, D.* ; Chaker, A.

Occupational rhinitis.

Allergol. Select 5, 51-56 (2021)
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Occupational rhinitis (OR) has so far received little attention even though it shares common pathophysiological features and trigger factors and is closely associated with occupational asthma (OA). Work-related exposure to certain substances, such as animal dander, is considered to be the main factor for the development of OR. The new EAACI definition of OR stresses the causal relationship between workplace exposure and onset of rhinitis symptoms as opposed to previous definitions that mainly focused on a temporal relationship between workplace exposure and occurrence of nasal symptoms. Also, it has been suggested to use the term "work-related rhinitis" for classifying the different forms of rhinitis associated with the workplace. These forms can be subdivided into allergic or non-allergic OR, which is due to causes and conditions related to a particular work environment, as well as work-exacerbated rhinitis, which is defined as a pre-existing rhinitis exacerbated by exposure at the workplace. Even though taking a detailed patient history is especially important when it comes to diagnosing OR, the gold standard for confirming the diagnosis is nasal provocation testing. Best possible symptomatic relief and prevention of development of OA constitute the main therapeutic objectives in OR. Treatment options consist of total avoidance of trigger substances (main goal), reduction of exposure to certain substances, and pharmacotherapy. Furthermore, it is important to note that allergic OR is an occupational disease in Germany (Berufskrankheit No 4301) and needs to be reported to health authorities.
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Publication type Article: Journal article
Document type Review
Keywords Allergic, Non-allergic Occupational Rhinitis (or) ; Nasal Provocation Test ; Occupational Asthma (oa) ; Occupational Disease, Bk 4301 ; Work-exacerbated Rhinitis ; Work-related-rhinitis
Language english
Publication Year 2021
HGF-reported in Year 2021
ISSN (print) / ISBN 2512-8957
e-ISSN 2512-8957
Quellenangaben Volume: 5, Issue: , Pages: 51-56 Article Number: , Supplement: ,
Publisher Dustri
Reviewing status Peer reviewed
POF-Topic(s) 30202 - Environmental Health
Research field(s) Allergy
PSP Element(s) G-505400-001
PubMed ID 33524079
Erfassungsdatum 2021-04-01