Diagnosis of occupational rhinitis is a present day struggle. The underdiagnosis is significant because the clinical appearance is nonspecific and there is also no occupational background.The detection of occupational rhinitis can be increased by using occupational exposure screening questions in the evaluation of a patient with adult-onset rhinitis. Reports on cases, case series and epidemiological trials constantly show new sensitizers and irritants capable of causing occupational rhinitis allergic or non-allergic (irritant-inducing). The importance of IgE, prick tests and basophil activation tests for demonstration of sensitization for employment agents is based on recent reviews. Recent reviews were pertinent. A certain diagnosis of allergic occupational rhinitis can be made by nasal provocation testing (NPT). However, some NPT recommendations exclusively focused on generic high molecular weight Allergens. If the NPT is performed with unstandard agents, adapted protocols are needed — much like other occupational sensitizers.
The study offers realistic advice on how to diagnose workplace rhinitis for physicians who care for rhinitis patients based on recent literature perspectives. We focus on the complexities of diagnostic practise, how potential triggers are identified and the function of NPT.
