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Local allergic rhinitis: considerations.

Luisa Maria Bellussi1, Francesco Maria Passali2, Desiderio Passali3

  • 1IFOS Executive Board Member, Full ENT Professor, Rome.

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Summary

Local allergic rhinitis (LAR) is a recognized clinical condition, not a new discovery. The nasal provocation test aids in diagnosing LAR, especially when traditional allergy tests are negative.

Keywords:
local allergic rhinitisnaso-sinus pathologiesrhinitis

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Area of Science:

  • Allergy and Immunology
  • Otorhinolaryngology

Background:

  • The term "local allergic rhinitis" (LAR) has gained recent traction in clinical practice.
  • Despite its name, LAR has a long history of recognition and treatment.
  • The apparent contradiction in terminology warrants clarification.

Purpose of the Study:

  • To provide insights into the established understanding of local allergic rhinitis.
  • To clarify the terminology surrounding this clinical entity.
  • To reconcile different viewpoints on LAR diagnosis and definition.

Main Methods:

  • Review of clinical experience and historical context of local allergic rhinitis.
  • Discussion of the role of the nasal provocation test (NPT) in diagnosing allergic rhinitis.
  • Analysis of the etymology and clinical application of the term "local allergic rhinitis".

Main Results:

  • Local allergic rhinitis is a well-established condition, not a recent finding.
  • The nasal provocation test, developed in the 1980s, is crucial for diagnosing cases with typical symptoms but negative conventional allergy tests.
  • Clarification of terminology is needed for consistent clinical application.

Conclusions:

  • Local allergic rhinitis has been historically recognized and treated.
  • The nasal provocation test is a key diagnostic tool for identifying LAR.
  • A precise and consistent terminology for local allergic rhinitis is essential for clinical practice and research.