'I've got hay-fever and my mouth is stinging!'.
A case of oral allergy syndrome is presented. Crossreactivity of pollens with some fruit/vegetables causes immediate IgE-mediated symptoms localised to the mouth. Diagnosis is suspected from positive skin prick testing in the presence of a suggestive history. Management is by allergen avoidance. In serious and refractory cases, referral to a regional allergy clinic is recommended.
Maxillofacial Unit, Queen Victoria Hospital, Holtye Road, East Grinstead, RH19 3DZ.
S
S
Rose
R
R
Weld-Moore
N
N
Ghazali
L
L
Newman
D000328:Adult; D031211:Corylus / Q000009:adverse effects; D003937:Diagnosis, Differential; D005260:Female; D005512:Food Hypersensitivity / Q000175:diagnosis*; D006801:Humans; D020315:Latex Hypersensitivity / Q000175:diagnosis; D027845:Malus / Q000009:adverse effects; D021184:Nut Hypersensitivity / Q000175:diagnosis; D019226:Oral Ulcer / Q000175:diagnosis*; D021183:Peanut Hypersensitivity / Q000175:diagnosis; D027861:Prunus / Q000009:adverse effects; D006255:Rhinitis, Allergic, Seasonal / Q000150:complications*; D011198:Solanum tuberosum / Q000009:adverse effects