Oral Syndrome

Oral Allergy Syndrome (OAS), a type of food allergy, generally characterized by an allergic reaction that is confined to the lips, mouth and throat. It is caused by cross-reactivity between proteins from and or vegetables. Food can occur even the first time you eat a food. OAS should not be confused with food intolerance, such as lactose intolerance, which is due to an enzymatic failure to convert lactose into glucose

When a patient with OAS eats a fresh or vegetable, the immune system sees the similarity and causes an allergic reaction. OAS most commonly occurs when asthmatics with hay fever or tree pollen eat fresh (raw) fruits or vegetables. Other pollen allergies may also trigger OAS. Adults appear to be more affected than children. Exercise can worsen the symptoms.

Symptoms normally appear within minutes of eating the offending food. Rapid onset of itching or swelling of the lips, mouth or throat are the most common symptoms of OAS. Other symptoms may include irritation of the gums, eyes or nose. Hives, nasal congestion, and wheezing can also occur. Symptoms are often worse during the spring and fall pollen seasons.

In most cases OAS does not require medical treatment. It is best to avoid the offending foods. In general, it is best to follow the basic rule: If a food makes you uncomfortable, don’t eat it. Often just peeling or cooking the food will reduce the effects. Canning the food also will break down some of its proteins making it less reactive. At times, an antihistamine can effectively relieve the symptoms. In adults and children with severe recurrent OAS, immunotherapy (allergy shots) to the pollen has been useful. is rare but life threatening and requires emergent treatment with epinephrine as well as emergent follow up care. Cross-reactivity Pollen Potential Cross-reactive Foods Ragweed Bananas, melons (watermelon, cantaloupe, honeydew) zucchini, cucumber, dandelions, chamomile tea, , sunflower seeds, tomatoes Birch Apples, pears, peaches, apricots, cherries, plums, nectarines, prunes, kiwi, carrots, celery, potatoes, peppers, fennel, parsley, coriander, parsnips, hazelnuts, almonds, walnuts Grass Peaches, celery, melons, tomatoes, oranges Mugwort Celery, apple, kiwi, peanut, fennel, carrots, parsley, coriander, sunflower, peppers

Alder Celery, pears, apples, almonds, cherries, hazelnuts, peaches, parsley Latex Bananas, avocado, kiwi, chestnut, papaya, apple, carrot, celery