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Work-Related Upper-Airway Disorders.

Ambrose Lau1, Susan M Tarlo2

  • 1Department of Medicine, Toronto Western Hospital, St Michael's Hospital, 399 Bathurst Street, Toronto, Ontario M5T 2S8, Canada.

Clinics in Chest Medicine
|November 6, 2020
PubMed
Summary
This summary is machine-generated.

Work-related rhinitis and laryngeal disorders cause respiratory symptoms, often mistaken for asthma. Early diagnosis and proper occupational history are key for effective management of these common workplace conditions.

Keywords:
Allergic rhinitisInducible laryngeal disorderIrritable larynxLaryngeal coughOccupationalRhinitis

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Area of Science:

  • Occupational Medicine
  • Otolaryngology
  • Allergology

Background:

  • Work-related rhinitis and laryngeal disorders are prevalent occupational health issues.
  • These conditions contribute significantly to work absences and reduced productivity (presenteeism).
  • Respiratory symptoms may be misdiagnosed as asthma, complicating patient care.

Purpose of the Study:

  • To highlight the importance of recognizing and managing work-related rhinitis and laryngeal disorders.
  • To emphasize the role of accurate medical and occupational history in diagnosis.
  • To outline diagnostic investigations for these conditions.

Main Methods:

  • Review of clinical presentations and diagnostic approaches for work-related upper airway disorders.
  • Emphasis on detailed medical and occupational history taking.
  • Description of investigations including nasal examination, allergy testing, nasal flow monitoring, and challenge tests for rhinitis.
  • Inclusion of otolaryngologist and speech-language pathologist involvement for laryngeal disorders.

Main Results:

  • Work-related rhinitis and laryngeal disorders present with respiratory symptoms that can mimic asthma.
  • A thorough occupational history is crucial for identifying workplace triggers.
  • Diagnostic tools range from basic examinations and allergy tests to specialized functional and challenge tests.

Conclusions:

  • Prompt identification and management of work-related rhinitis and laryngeal disorders are essential to reduce work absences.
  • Distinguishing these from asthma requires careful clinical evaluation and targeted investigations.
  • Multidisciplinary collaboration, including specialists, aids in accurate diagnosis and treatment.