[Reproducibility of the intranasal provocation test]. 1987

C Bachert

Perennial allergic diseases of the upper respiratory tract are becoming more and more frequent. Treatment is difficult and indicated only if there is clear evidence that the suspected allergen definitely causes the symptoms. To date the intranasal allergen provocation test (INT) is the only possibility to prove the actuality of an allergen at the shock organ (e.g. the nasal mucosa). However, the validity of the INT is diminished because the test is handled differently by various authors. In this study we therefore examined the extraseasonal reproducibility of INT in 21 patients allergic to graminaceae. After determination of an individual allergen concentration for every subject the INT was repeated five times under standardised conditions (allergen lyophilised and standardised in biological units, application of the allergen solution to the inferior concha, rhinomanometrical measurement of the nasal flow before and 15 min. after the provocation). Using a flow reduction of 30 per cent as borderline value we found a high reproducibility of the INT. The nasal reaction was not diminished after repeating the test within 24 hours. The essential and so far unsolved problem of the INT is not due to the technical device but to the concentration of the allergen solution which must correspond to the natural exposition of the patient.

UI MeSH Term Description Entries
D009299 Nasal Provocation Tests Application of allergens to the nasal mucosa. Interpretation includes observation of nasal symptoms, rhinoscopy, and rhinomanometry. Nasal provocation tests are used in the diagnosis of nasal hypersensitivity, including RHINITIS, ALLERGIC, SEASONAL. Provocation Tests, Nasal,Nasal Provocation Test,Provocation Test, Nasal,Test, Nasal Provocation,Tests, Nasal Provocation
D006109 Poaceae A large family of narrow-leaved herbaceous grasses of the order Cyperales, subclass Commelinidae, class Liliopsida (monocotyledons). Food grains (EDIBLE GRAIN) come from members of this family. RHINITIS, ALLERGIC, SEASONAL can be induced by POLLEN of many of the grasses. Alopecurus,Arundo,Gramineae,Grasses,Imperata,Grass,Imperata cylindrica
D006255 Rhinitis, Allergic, Seasonal Allergic rhinitis that occurs at the same time every year. It is characterized by acute CONJUNCTIVITIS with lacrimation and ITCHING, and regarded as an allergic condition triggered by specific ALLERGENS. Hay Fever,Pollen Allergy,Pollinosis,Seasonal Allergic Rhinitis,Hayfever,Allergic Rhinitides, Seasonal,Allergic Rhinitis, Seasonal,Allergies, Pollen,Allergy, Pollen,Fever, Hay,Pollen Allergies,Pollinoses,Rhinitides, Seasonal Allergic,Rhinitis, Seasonal Allergic,Seasonal Allergic Rhinitides
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000485 Allergens Antigen-type substances that produce immediate hypersensitivity (HYPERSENSITIVITY, IMMEDIATE). Allergen
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