Moscato Gianna, Rolla Giovanni, Siracusa Andrea
Allergy and Immunology Unit, Fondazione 'Salvatore Maugeri', Institute of Research and Care, Scientific Institute of Pavia, Pavia, Italy.
Curr Opin Otolaryngol Head Neck Surg. 2011 Feb;19(1):36-42. doi: 10.1097/MOO.0b013e328341e228.
Work-related rhinitis is a common disease in many working groups, frequently associated with asthma. The purpose of this review is to summarize the specific literature published within the past 12 months, to discuss the diagnostic workup and to illustrate the medicolegal aspects pertaining to this disease.
Recently, there has been a growing scientific interest in work-related rhinitis, which includes both occupational rhinitis and work-exacerbated rhinitis. The epidemiological relevance and the relationships to asthma have been evaluated. New etiologic agents and populations at risk have been identified. A new definition and classification, and a diagnostic algorithm, have been proposed.
In consideration of the epidemiological relevance and of the medicolegal implications, occupational rhinitis should be considered in daily clinical practice by all physicians. In adults with late-onset rhinitis, occupational causes should be queried and patients in whom an occupational association is suspected should be referred for specific assessments.
职业性鼻炎在许多工作群体中是一种常见疾病，常与哮喘相关。本综述的目的是总结过去12个月内发表的相关具体文献，讨论诊断检查，并阐明与该疾病相关的法医学方面。
最近，人们对职业性鼻炎的科学兴趣日益浓厚，职业性鼻炎包括职业性鼻炎和工作加重性鼻炎。已经评估了其流行病学相关性以及与哮喘的关系。确定了新的病因和高危人群。提出了新的定义、分类和诊断算法。
鉴于其流行病学相关性和法医学意义，所有医生在日常临床实践中都应考虑职业性鼻炎。对于成年迟发性鼻炎患者，应询问职业病因，对于疑似有职业关联的患者，应转诊进行特殊评估。
