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This procedure is time-consuming, expensive, and potentially dangerous for the patient. Recently it has been discussed whether provocation tests are really necessary for diagnosing allergy to\n                      <jats:italic>Dermatophagoides<\/jats:italic>\n                      species. Thus, our study aimed to analyze the concordance between nasal provocation tests with\n                      <jats:italic>Dermatophagoides<\/jats:italic>\n                      species and anamnestic data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed the concordance between patients\u2019 histories including self-reported symptom scores and the results of provocation testing in 471 individuals with proven sensitization to\n                      <jats:italic>Dermatophagoides<\/jats:italic>\n                      species.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      248 patients had a positive nasal provocation test (NPT) result to\n                      <jats:italic>Dermatophagoides<\/jats:italic>\n                      species and 223 individuals a negative NPT result. Patients allergic to HSM suffered significantly more often from atopic dermatitis (14% vs. 7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046) and more from asthma (20% vs. 19%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.851). Moreover, individuals with clinically silent sensitization complained less about nasal secretion (37% vs. 45%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.244) but significantly more about nasal dryness (46% vs. 34%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046) whereas rates of nasal airway obstruction, ocular complaints and sleep quality were comparable in both groups. Allergic patients reported more often perennial (34% vs. 30%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.374) and location-dependent (39% vs. 31%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.090) symptoms. However, the discrepant prevalence of atopic dermatitis was the only statistically significant difference between both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Despite slight differences between both patient groups, clinical data are not sufficient to distinguish between silent sensitization and clinically relevant allergic rhinitis to HDM. Therefore, nasal provocation testing remains the gold standard for assessing clinical relevance in patients sensitized to\n                      <jats:italic>Dermatophagoides<\/jats:italic>\n                      species.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00405-021-06862-x","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T09:03:33Z","timestamp":1621587813000},"page":"801-810","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["How reliable is anamnestic data in predicting the clinical relevance of house dust mite sensitization?"],"prefix":"10.1007","volume":"279","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1258-6964","authenticated-orcid":false,"given":"Anna S.","family":"Englhard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Holzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Eder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donata","family":"Gellrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Gr\u00f6ger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"issue":"3","key":"6862_CR1","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/j.1398-9995.2006.01293.x","volume":"62","author":"PJ Bousquet","year":"2007","unstructured":"Bousquet PJ, Chinn S, Janson C, Kogevinas M, Burney P, Jarvis D, European Community Respiratory Health Survey I (2007) Geographical variation in the prevalence of positive skin tests to environmental aeroallergens in the European Community Respiratory Health Survey I. 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