Nasal-specific provocation test in diagnosis of occupational allergic rhinitis
Authors:
P. Malenka
Authors‘ workplace:
Přednosta: prof. MUDr. Petr Brhel, CSc.
; Klinika pracovního lékařství FN u sv. Anny a LF MU Brno
Published in:
Prakt. Lék. 2011; 91(7): 422-426
Category:
Diagnostis
Overview
Allergic rhinitis often represents the initial phase of a more serious disease such as astma. Diagnosis of occupational allergic rhinitis is a complex procedure. Nasal-specific provocation test is the most characteristic test. This method employs measurement of the flow and resistance of the air through nasal cavity by rhinomanometry, before and after exposing the nasal mucous membrane to suspect allergen. Subjective nasal symptoms are scored by Symptom Score.
The author has analyzed 92 cases of occupational rhinitis, which were diagnosed and noted as an occupational disease in southern Moravia (more precisely, the Occupational Medicine Clinic at St. Anne‘s University Hospital Brno and Faculty of Masaryk University in Brno) in the period from 1/1/2003 to 31/12/2007. The author has compared the symptom scores at the time of detection of occupational disease and one year after.
Key words:
occupational rhinitis, complex diagnostic procedure, nasal-specific provocation test, occupational disease.
Sources
1. Braunstahl, G.J., Kleinjan, A., Overbeek, S.E. et al. Segmental bronchial provocation induces nasal inflammation in allergic rhinitis patients. Am. J. Respir. Crit. Care Med. 2000, 161(6), p. 2051-2057.
2. Brhel, P. Zkušenosti s diagnostikou profesionální alergické rinitidy. Pracov. Lék. 51, 1999, 2: s. 82-85.
3. Corren, J. The impact of allergic rhinitis on bronchial asthma. J. Allergy Clin. Immunol. 101, 1998, p. 352-356.
4. Dršata, J., Vokurka, J., Jakoubková, S.: Rinomanometrie jako metoda funkčního nosního vyšetření. Otorinolaryngol. (Prague), 48, 1999, 1, s. 21-28.
5. Horwath, P.H. Mucosal inflammation and allergic rhinitis. In: Naclerio R.M., Durham S.R., Mygind N. (eds.). Rhinitis Mechanism and Management. New York-Basel-Hongkong: Marcel Dekker Inc., 1999, p. 109-133.
6. Mamessier, E., Milhe, F., Guillot, C.. et al. T-cell activation in occupational asthma and rhinitis. Allergy, 2007, 62(2), p. 162-169.
7. Slavin, R.G. Occupational Rhinitis. Ann. Allergy Asthma Immunol. 2003, 90(5), p. 2-6.
8. Vignola, A.M. Relationship between rhinitis and asthma. Allergy 1998, 53, p. 833-839.
9. Vomelová, K. Nazální provokační testy v diagnostice profesionální rinitidy. Pracov. Lék. 2000, 52(2), s. 100-103.
10. Vyhláška č.32/1965 Sb., o bolestném a ztížení společenského uplatnění ve znění pozdějších předpisů.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2011 Issue 7
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