Occupational rhinitis

Occupational rhinitis is a common but generally unappreciated entity. It frequently exists with asthma but may present alone. While 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 to the specific work area may give helpful insights to 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.