Robert NaclerioIgnacio J. AnsoteguiJean BousquetG. Walter CanonicaGennaro D'AmatoNelson RosarioRuby PawankarDavid PedenKarl Christian BergmannLeonard BieloryLuis CaraballoLorenzo CecchiS. Alfonso M. CepedaHerberto José Chong NetoCarmen GalánSandra N. Gonzalez DiazSamar IdrissTodor PopovGerman D. RamonErminia RidoloMenachem RottemWisuwat SongnuanPhilip RouadiHumanitas UniversityVieillissement et Maladies Chroniques. Approches Épidémiologiques et de Santé PubliqueUniversidad de CartagenaUniversite de Versailles Saint-Quentin-en-YvelinesThe Ruth and Bruce Rappaport Faculty of MedicineEmek Medical CenterCharité – Universitätsmedizin BerlinUniversità degli Studi di FirenzeSeton Hall UniversityNippon Medical SchoolUniversità degli Studi di Napoli Federico IIUniversidade Federal do ParanaMahidol UniversityInstituto Universitario del Hospital Italiano de Buenos AiresUniversità degli Studi di ParmaUniversidad de CordobaJohns Hopkins School of MedicineAlexander's University Hospital Clinic of Allergy & AsthmaUNC Center for Environmental MedicinePrato - USL Toscana CentroFundación Hospital Universitario Metropolitano de BarranquillaHospital Quironsalud BizkaiaCentro Medico San FranciscoEye and Ear Hospital2020-05-052020-05-052020-03-01World Allergy Organization Journal. Vol.13, No.3 (2020)193945512-s2.0-85082825464https://repository.li.mahidol.ac.th/handle/20.500.14594/54577© 2020 The Authors Allergic rhinitis affects the quality of life of millions of people worldwide. Air pollution not only causes morbidity, but nearly 3 million people per year die from unhealthy indoor air exposure. Furthermore, allergic rhinitis and air pollution interact. This report summarizes the discussion of an International Expert Consensus on the management of allergic rhinitis aggravated by air pollution. The report begins with a review of indoor and outdoor air pollutants followed by epidemiologic evidence showing the impact of air pollution and climate change on the upper airway and allergic rhinitis. Mechanisms, particularly oxidative stress, potentially explaining the interactions between air pollution and allergic rhinitis are discussed. Treatment for the management of allergic rhinitis aggravated by air pollution primarily involves treating allergic rhinitis by guidelines and reducing exposure to pollutants. Fexofenadine a non-sedating oral antihistamine improves AR symptoms aggravated by air pollution. However, more efficacy studies on other pharmacological therapy of coexisting AR and air pollution are currently lacking.Mahidol UniversityImmunology and MicrobiologyMedicineArticleSCOPUS10.1016/j.waojou.2020.100106