Abstract

Occupational rhinitis is a common but generally unappreciated entity. It frequently exists with asthma but may present alone. Although not as dramatic a presentation as bronchial asthma, it nevertheless results in significant discomfort and work inefficiency. The history and physical examination are the most important components to the workup of the patient. The frequent occurrence of an isolated late-phase nasal response may make the correct diagnosis confusing. A site visit by the physician to the specific work area gives helpful insights into the patient’s exposure. Greater objectivity to the diagnosis can be obtained through the rapidly developing technique of rhinomanometry. The management of occupational rhinitis should include not simply pharmacotherapy but also environmental control measures. Through these means, patients may be spared the distress and discomfort of occupational rhinitis.

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