Rice is the major staple food in a large part of the world, especially in Asia.
Hypersensitivity reactions to rice are rare. Moreover, cases of occupational
allergies induced by inhalation of rice
powder are uncommon. We report a 31-year-old male with work-related
rhinitis and
conjunctivitis symptoms caused by occupational exposure to rice
powder in the grain industry. He showed positive responses to rice extracts on a skin prick test, and a high level of serum specific
IgE to rice was detected by ELISA. Occupational
rhinitis was confirmed by a nasal provocation test with rice extracts. An
IgE ELISA inhibition test showed cross-creativity between rice and various grass pollen extracts. These findings suggest that the inhalation of rice
powder can induce
IgE-mediated occupational rhino-
conjunctivitis, which may be derived from cross-reactivity to major grass pollens.