The local lymph node assay (LLNA) is a method for the identification of ski
n sensitization hazard. The method is based upon measurement of proliferati
ve responses induced in draining lymph nudes following topical exposure of
mice to the test chemical. More recently the LLNA has: also been used for t
he evaluation of relative skin sensitization potency in the context of risk
assessment. Idiosyncratic drug reactions resulting from the stimulation of
allergic or autoimmunogenic responses are poorly understood but represent
an important clinical problem. In this article, the potential utility of th
e LLNA. either in a conventional modified configuration, to provide informa
tion of value in assessment the potential for systemic allergenicity is con
sidered. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.