Diagnostic significance of nasal provocation test in allergic rhinitis

Kim, Kyung Rae; Koh, Kwang Min; Park, Chul Won; Kim, Sun Kon

doi:10.35420/jcohns.1996.7.1.133

J Clin Otolaryngol Head Neck Surg 1996; 7(1):133-139

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1996.7.1.133

원저

비알레르기에서 비유발반응검사의 진단 적 의의

김경래¹, 고광민¹, 박철원¹, 김선곤¹

Diagnostic significance of nasal provocation test in allergic rhinitis

Kyung Rae Kim¹, Kwang Min Koh¹, Chul Won Park¹, Sun Kon Kim¹

Author Information & Copyright ▼

¹한양대학교 의과대학 이비인후과학교실

¹Department of Otolaryngology, College of Medicine，Hanyang University

© Copyright 1996 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Various kinds of diagnostic procedures for allergic rhinitis are available, including careful history taking, physical examination, PNS x-ray, eosinophil in nasal secretion, blood eosinophil count, serum IgE level, skin test, nasal provocation test, RAST and MAST. Among these, careful history taking and skin test have important role in diagnosing the allergic rhinitis. To evaluate the diagnostic significance of nasal provocation test in allergic rhinitis, a clinical study was done in allergic rhinitis patients.

The results were as follows;

In control group, provocation rate to positive skin allergen was none.
House dust and mite revealed the highest provocation rate to positive skin allergen.
In the group of positive nasal provocation test, eosinophil in nasal secretion and blood eosinophil count were markedly increased.
The positive provocation rate was correlated with degree of positive skin reaction.
The provocation reaction after hyposensitization was markedly reduced.

Keywords: Allergic rhinitis; Provocation test