Pediatric oral allergy syndrome (OAS)
Pediatric oral allergy syndrome (OAS), also called pollen-food allergy syndrome, is a food allergy that only impacts the lips, mouth and throat. It occurs in children who are allergic to birch, grass, mugwort or ragweed pollens.
What is pediatric oral allergy syndrome (OAS)?
OAS is a type of food allergy where children experience a reaction only in their lips, mouth and throat. It occurs in children who are allergic to birch, grass, mugwort or ragweed pollens, and is more likely to occur in children who also have asthma.
Adults tend to be affected more than children, but adolescents (age 10-19 years old) can show symptoms. People can develop the allergy at any point in their lives, including after years of eating the same food and not having a reaction.
What are the signs and symptoms of pediatric oral allergy syndrome (OAS)?
OAS symptoms normally begin in adolescence and most often develop in the adult years.
Symptoms include:
Itchy ears, mouth or throat
Swelling of the face (lips, mouth throat or tongue)
Anaphylactic shock symptoms (also called anaphylaxis) is a severe allergic reaction that comes on rapidly and must be treated immediately. An anaphylactic reaction is an emergency situation that requires immediate medical attention. Call 911 .
Symptoms include:
Confusion
Cyanosis (bluish tint to lips and fingers)
Loss of consciousness
Sweating
Swelling of the face (lips, throat or tongue)
Wheezing or severe breathing problems
What are the causes of pediatric oral allergy syndrome (OAS)?
OAS occurs when a child eats a raw fruit, vegetable or tree nut, and it causes a cross-reaction with a birch, grass, mugwort or ragweed pollen allergy. Often, a child with OAS can eat the same food when it’s cooked and it will not trigger a reaction.
Triggers vary between children, as do allergies and the severity of the reaction to each trigger. When a child is allergic to birch, grass, mugwort or ragweed pollen, they are more likely to have a cross-reaction when they eat the foods listed below.
Birch pollen
Apples, kiwis and pears
Almonds and hazelnuts
Carrots and celery
Cherries, peaches and plums
Grass pollen
Celery
Melons and peaches
Oranges
Tomatoes
Mugwort pollen
Cauliflower, broccoli and cabbage
Onion and bell peppers
Spices like black pepper, garlic, parsley and coriander
Ragweed pollen
Bananas
Cucumbers
Melons
Sunflower seeds
Zucchini