AS USUAL, this review is designed to call attention to a number of articles culled from the literature of the previous calendar year. It makes no pretense of discussing significant highlights nor trends, rather its purpose is to enlarge the background information of anyone interested in clinical allergy. Testing Since the presence of a positive skin test does not positively establish that the patient is clinically sensitive to an allergen nor that it is important as an etiological factor, Hosen1 devised a method of provocative intranasal testing for the purpose of making a specific diagnosis. (This article explains why attempts at definitive allergy therapy sometimes fail. It is unlikely, however, that the average otolaryngologic allergist would have the time or the facilities to perform the tests Hosen describes as a matter of routine. Fortunately, the history and skin testing give a fairly high percentage of accuracy.) To increase the