Nasal challenge with allergen or mediators is a useful model to understand
the pathophysiology of allergic rhinitis. Some mechanisms have thereby been
clearly clarified. Different methods have been proposed to mimic the natur
al allergen exposure and to measure the clinical and biological responses.
Nasal challenges can also be used in clinical practice, mainly when there i
s a discrepancy between results of skin tests and in vitro or when occupati
onal allergens are involved. Nasal challenges are also valuable to assess t
he efficacy of specific immunotherapy or some drugs.