PMID- 38292952 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240201 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 12 DP - 2023 Dec TI - Allergic Rhinitis: Tailoring Immunotherapy Through Innovative Diagnostics. PG - e51370 LID - 10.7759/cureus.51370 [doi] LID - e51370 AB - Allergic rhinitis (AR) is a chronic ailment triggered by immunoglobulin E (IgE)-mediated reactions to allergens. Generally, AR is accompanied by asthma and conjunctivitis. The risk factors of AR include both inhalant and occupational allergens and genetic factors. Although AR is not a life-threatening condition, it poses a significant risk of morbidity and hampers work-related performance. Currently, the diagnosis of AR is based on clinical history and physical examination of the patients. Furthermore, several laboratory tests such as skin pricking test (SPT), nasal allergen challenge (NAC), and computed tomography (CT) are also recommended in some cases. Nasal cytology can aid in the differentiation of rhinitis because of allergy or infection. Apart from this, molecular diagnostic modalities such as basophil activation test (BAT) and Immune Solid-Phase Allergy Chip (ISAC) can also be employed for the confirmatory diagnosis of AR. Immunotherapy has demonstrated efficacy in the management of AR, with only mild side effects. With the advancement in the diagnostic realm of AR, personalized treatment approach has also gained significant popularity. Immunotherapy is gaining evidence on becoming a personalized treatment approach for the management of AR. This article provides a comprehensive overview, aiming to bridge the gap between evolving diagnostics and personalized therapeutic strategies for allergic rhinitis. CI - Copyright (c) 2023, Abushal et al. FAU - Abushal, Bandar A AU - Abushal BA AD - Department of Otolaryngology, Ministry of Health, Makkah, SAU. FAU - Bormah, Abdullah AU - Bormah A AD - College of Medicine, King Abdulaziz University, Jeddah, SAU. FAU - Alghamdi, Malak AU - Alghamdi M AD - Department of Family Medicine, College of Medicine, Albaha University, Al Baha, SAU. FAU - Tubaigi, Yahay S AU - Tubaigi YS AD - Department of Medicine, Eradah Mental Health Complex, Jeddah, SAU. FAU - Alomari, Amal AU - Alomari A AD - College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU. FAU - Khan, Safwan N AU - Khan SN AD - College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU. FAU - Alhafez, Nouryah A AU - Alhafez NA AD - Department of Medicine, Alfarabi College, Riyadh, SAU. FAU - Aladni, Ibrahim S AU - Aladni IS AD - Department of Ophthalmology, King Abdulaziz University Hospital, Jeddah, SAU. LA - eng PT - Journal Article PT - Review DEP - 20231230 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10825500 OTO - NOTNLM OT - allergens OT - ar: allergic rhinitis OT - inflammation OT - molecular diagnostics OT - personalized medicine (pm) COIS- The authors have declared that no competing interests exist. EDAT- 2024/01/31 06:42 MHDA- 2024/01/31 06:43 PMCR- 2023/12/30 CRDT- 2024/01/31 04:18 PHST- 2023/12/30 00:00 [accepted] PHST- 2024/01/31 06:43 [medline] PHST- 2024/01/31 06:42 [pubmed] PHST- 2024/01/31 04:18 [entrez] PHST- 2023/12/30 00:00 [pmc-release] AID - 10.7759/cureus.51370 [doi] PST - epublish SO - Cureus. 2023 Dec 30;15(12):e51370. doi: 10.7759/cureus.51370. eCollection 2023 Dec.