Occupational asthma and occupational rhinitis – one airway tract, one disease?
Authors:
S. Perečinský; A. Jančová
Authors‘ workplace:
Klinika pracovného lekárstva a klinickej toxikológie LF Univerzity P. J. Šafárika a Univerzitnej nemocnice L. Pasteura, Košice, prednosta doc. MUDr. Ľubomír Legáth, PhD.
Published in:
Pracov. Lék., 64, 2012, No. 4, s. 164-168.
Category:
Original Papers
Overview
Asthma and rhinitis are widespread around the world and often affect the patients simultaneously. Allergic inflammation with rhinitis is isolated to nasal mucosa only, whereas bronchial mucosa in asthma is associated with affected mucosa of upper respiratory tract. This idea is the basis of the terminology of „one airway, one disease“, which may also be applied to allergic rhinitis and asthma of occupational genesis. It has been published that 76–92% of patients with occupational asthma suffers from rhinitis. Less data concern associated asthma in patients with rhinitis of occupational etiology.
We have investigated prevalence of rhinitis in patients with acknowledged occupational asthma or, on the other hand, with prevalence of asthma in patients with occupational rhinitis. As the same time we analyzed the relation between these two diseases, which is closely related to evaluation of the chance of oneself to assert or acquit well socially, self-fulfillment.
The group included 121 patients: 89 with occupational asthma and 32 with occupational rhinitis. In the group of patients with occupational asthma, rhinitis was associated in almost 53.93%, in the group of patients with occupational rhinitis, 25% of patient were affected with asthma. An increasing trend in the occurrence of cases of associated rhinitis with occupational asthma was observed. The patients with occupational rhinitis, who also suffered from associated asthma, were classified as occupational rhinitis with transition to bronchial asthma. Frequent simultaneous occurrence of rhinitis and asthma indicate the need of a complex view of these diseases. In each patient with occupational rhinitis it is needed to perform targeted examinations to exclude bronchial hyperreactivity. In contrast, in bronchial asthma patients an otolaryngology examination is indicated as well as examination of upper respiratory tract by means of functional methods of examination at specialized institutions.
Key words:
occupational asthma – occupational rhinitis – prevalence – difficult social self-fulfillment
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Labels
Hygiene and epidemiology Hyperbaric medicine Occupational medicineArticle was published in
Occupational Medicine
2012 Issue 4
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