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职业性变应性鼻炎

[Occupational allergic rhinitis].

作者信息

Beaudouin E, Kanny G, Jankowski R, Stringini R, Moneret-Vautrin D A

机构信息

Servica de Médecine D, Centre Hospitalier Universitaire de Nancy, Hôpitaux de Brabois, Vandoeuvre.

出版信息

Ann Otolaryngol Chir Cervicofac. 1994;111(3):115-9.

PMID:7840482
Abstract

The frequency of occupational allergic rhinitis has grown with the development of new allergens and the prodromic characteristic of occupational asthma. The clinician must carefully assess the often unimpressive symptomatology with a characteristic work/non work cycle. The nasal mucosa is examined rhinoscopically to eliminate a possible tumoural origin. The diagnosis is based on the results of the allergy tests (skin tests, laboratory tests, nasal allergen tests) and on knowledge of the patient's work environment. The diagnosis of occupational rhinitis requires eliminating the allergen(s). A report of an occupational disease is required. In the future, informing atopic subjects early, improving working conditions and modifying industrial techniques should lead to a reduction in the prevalence of allergic rhinitis and occupational pulmonary disease.

摘要

随着新过敏原的出现以及职业性哮喘前驱症状的出现,职业性变应性鼻炎的发病率有所上升。临床医生必须仔细评估通常并不明显的症状,并结合其典型的工作/非工作周期特点。需通过鼻内镜检查鼻黏膜,以排除可能的肿瘤起源。诊断基于过敏试验结果(皮肤试验、实验室检查、鼻过敏原试验)以及对患者工作环境的了解。职业性鼻炎的诊断需要去除过敏原。需要出具职业病报告。未来,尽早告知特应性个体、改善工作条件以及改进工业技术,应能降低变应性鼻炎和职业性肺病的患病率。

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