title: Occupational rhinitis.
abstract: Work-related rhinitis, which includes work-exacerbated rhinitis and occupational rhinoconjunctivitis (OR), is two to three times more common than occupational asthma. High molecular weight proteins and low molecular weight chemicals have been implicated as causes of OR. The diagnosis of work-related rhinitis is established based on occupational history and documentation of immunoglobulin E (IgE) mediated sensitization to the causative agent if possible. Management of work-related rhinitis is similar to that of other causes of rhinitis and includes elimination or reduction of exposure to causative agents combined with pharmacotherapy. If allergens are commercially available, allergen immunotherapy can be considered.
authors: Division of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, 3255 Eden Avenue, Cincinnati, OH 45267-0563, USA.
authors: J Wesley
authors: JW
authors: Sublett
authors: David I
authors: DI
authors: Bernstein
mesh_terms: D000485:Allergens / Q000009:adverse effects / Q000276:immunology; D059366:Asthma, Occupational / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy*; D003231:Conjunctivitis / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy*; D003888:Desensitization, Immunologic / Q000379:methods*; D006633:Histamine Antagonists / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology; D007509:Irritants / Q000009:adverse effects / Q000276:immunology; D009299:Nasal Provocation Tests; D009784:Occupational Diseases / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy*; D016273:Occupational Exposure / Q000517:prevention & control*; D012220:Rhinitis / Q000175:diagnosis / Q000209:etiology / Q000276:immunology / Q000628:therapy*; D012882:Skin Tests; D013256:Steroids / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D000485:Allergens; D006633:Histamine Antagonists; D007509:Irritants; D013256:Steroids; D007073:Immunoglobulin E