Diagnosis of Occupational Rhinitis

  • Roy Gerth van Wijk
Part of the Allergy Frontiers book series (ALLERGY, volume 4)

Occupational rhinitis refers to nasal disease caused by stimuli in the working environment. As the underlying pathophysiological mechanisms may have an allergic, a non-allergic or an unknown background standardized or even clear-cut diagnostic tools are not available. The occupational and medical history should give some evidence of a relation between the occurrence of symptoms and work. Skin test and immunological tests may be helpful in case of allergic reactions to high molecular weight (HMW) agents. A history and evidence of sensitization to occupational allergens may lead to a probable diagnosis of occupational rhinitis. A variety of tools such as assessments of nasal patency or resistance, assessment of inflammation with nasal lavage or NO can be used to support the diagnosis, however none of the tools are validated for the diagnosis of monitoring of occupational allergy.

A definite diagnosis can only be established with nasal challenge tests or exposure to agents in the work place.


Allergic Rhinitis Allergy Clin Immunol Occupational Asthma Nasal Lavage Acoustic Rhinometry 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer 2009

Authors and Affiliations

  • Roy Gerth van Wijk
    • 1
  1. 1.Section of Allergology, Department of Internal MedicineErasmus Medical CentreRotterdamThe Netherlands

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