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Respir Res. 2009; 10(1): 16.
Published online 2009 March 3. doi: 10.1186/1465-9921-10-16.
PMCID: PMC2654869
EAACI position paper on occupational rhinitis
Gianna Moscato,corresponding author1 Olivier Vandenplas,2 Roy Gerth Van Wijk,3 Jean-Luc Malo,4 Luca Perfetti,1 Santiago Quirce,5 Jolanta Walusiak,6 Roberto Castano,4 Gianni Pala,1 Denyse Gautrin,4 Hans De Groot,3 Ilenia Folletti,7 Mona Rita Yacoub,1 and Andrea Siracusa7
1Allergy and Immunology Unit, Fondazione 'Salvatore Maugeri', Institute of Care and Research, Scientific Institute of Pavia, Pavia, Italy
2Service de Pneumologie, Cliniques de Mont-Godinne, Université Catholique de Louvain, Yvoir, Belgium
3Department of Allergology, Erasmus MC, Rotterdam, The Netherlands
4Center for Asthma in the Workplace, Hôpital du Sacré-Coeur de Montréal, Centre de Recherche-Pneumologie, Montreal, Quebec, Canada
5Allergy Department, Hospital La Paz, Madrid, Spain
6Department of Occupational Diseases, Institute of Occupational Medicine, Lodz, Poland
7Occupational Medicine, Terni Hospital, University of Perugia, Perugia, Italy
corresponding authorCorresponding author.
Gianna Moscato: gmoscato/at/fsm.it; Olivier Vandenplas: olivier.vandenplas/at/pneu.ucl.ac.be; Roy Gerth Van Wijk: r.gerthvanwijk/at/erasmusmc.nl; Jean-Luc Malo: malojl/at/meddir.umontreal.CA; Luca Perfetti: luca.perfetti/at/fsm.it; Santiago Quirce: squirce/at/gmail.com; Jolanta Walusiak: jolantaw/at/imp.lodz.pl; Roberto Castano: roberto.castano/at/mail.mcgill.ca; Gianni Pala: giannipalass/at/libero.it; Denyse Gautrin: d.gautrin/at/umontreal.ca; Hans De Groot: h.degroot/at/erasmusmc.nl; Ilenia Folletti: ileniafolletti/at/tiscali.it; Mona Rita Yacoub: monaritayacoub/at/yahoo.it; Andrea Siracusa: asiracus/at/unipg.it
Received November 5, 2008; Accepted March 3, 2009.
Abstract
The present document is the result of a consensus reached by a panel of experts from European and non-European countries on Occupational Rhinitis (OR), a disease of emerging relevance which has received little attention in comparison to occupational asthma. The document covers the main items of OR including epidemiology, diagnosis, management, socio-economic impact, preventive strategies and medicolegal issues. An operational definition and classification of OR tailored on that of occupational asthma, as well as a diagnostic algorithm based on steps allowing for different levels of diagnostic evidence are proposed. The needs for future research are pointed out. Key messages are issued for each item.