Background:In studies using allergen extracts, patients with 1+ reactions had been usually excluded. However, the borderline allergen reactions may give false positive or false negative results, in respect to chosen cutoff point. Objective: This study aimed to compare the skin prick test device Multi-Test applicator with blood lancet, in respect to their sensitivity, precision and reproducibility. Methods: The first group consist of 14 healthy subjects. The second group consist of 14 patients with allergic rhinitis, recruited from the Out-patient Allergy Clinic. The patients had known sensitivity to at least one allergen. Skin prick tests were performed with the single blood lancet and the Multi-Test device. The solutions used for testing were histamine, negative control for both group, and allergens (Dermatophagoides pteronyssinus, Dermatophagoides pharinae, grass, tree, weed, epidermal) for the second group.Results: For all three tested solutions, mean wheal sizes were larger for the Multi-Test device than for the lancet, in healthy group(p<0.0001) and in allergic rhinitis group(P<0.001). The coefficients of variations for Multi-Test device were always lower than lancet. (Multi Test vs. lancet; for negative control: 49.81 vs 76.74, for histamine: 23.36 vs 36.76, for allergens: 79.60 vs. 100.56). If 3 mm was chosen as a cutoff point 22.9 % of the reactions were false positive for Multi-Test device. Conclusions: According to results of our study cutoff point of 4.5 mm for Multi-Test device was comparable with cutoff point of 3 mm for lancet, with no false positive reactions for both devices.