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The work presents results of a clinical survey of 440 patients with symptoms of allergic rhinitis in the Republic of North Ossetia-Alania. The survey oncluded 272 urban residents and 168 rural residents aged 18-65. The prevalence of allergic rhinitis among adults living in environmentally unfavorable urban areas turned out to be 1.3 times higher in comparison with the conventionally clean rural areas (p <0,05). Predominantly seasonal forms of the disease were revealed among both groups of patients, the prevalence in urban and rural areas amounted to 8.2% and 6.4%, respectively. The main regional etiological factors of pollinosis in the adult population are weed pollen (61.4%), meadow grass (20.9%), fungal allergens – Alternaria, Cladosporium (22.5%). Low appeal ability a hypodiagnosis of seasonal allergic rhinitis has been detected as a result of the survey ,the diagnostics methods of the pathology should be improved.