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Why Am I Suddenly Allergic to Apples?

Published in Food Allergies 3 mins read

You might be experiencing Oral Allergy Syndrome (OAS), where your immune system is mistaking proteins in the apple for pollen you're already allergic to.

Understanding Oral Allergy Syndrome (OAS)

OAS, also known as pollen-food allergy syndrome, can develop suddenly. Here's a breakdown of why this happens:

  • Cross-Reactivity: OAS occurs when your immune system identifies similar proteins in both pollen and certain foods. For example, if you're allergic to birch pollen, proteins in apples can resemble birch pollen proteins.

  • Immune Response: When you eat an apple, your body detects these similar proteins and triggers an allergic reaction. According to research, "OAS occurs when your immune system mistakes the food you're eating for the pollen to which you are allergic. Say you're allergic to birch pollen and eat an apple. Your body might detect trace amounts of pollen left on that apple and start producing antibodies."

  • Common Allergens: Common pollen allergens that cross-react with foods include birch, ragweed, and grass pollen.

Symptoms of Apple Allergy (OAS)

The symptoms of apple allergy, in the context of OAS, are usually mild and localized to the mouth and throat. They may include:

  • Itching or tingling of the lips, mouth, or throat
  • Swelling of the lips, tongue, or throat
  • Scratchy throat

Managing Your Apple Allergy

Here are some strategies to manage your apple allergy related to OAS:

  • Cook the Apples: Heating apples can denature the proteins that cause the allergic reaction, making them less allergenic. Cooked apples (like in pies or applesauce) might not cause a reaction.

  • Peel the Apples: The allergenic proteins are often concentrated in the skin.

  • Avoidance: The simplest solution is to avoid eating raw apples, especially during pollen season.

  • Antihistamines: Over-the-counter antihistamines can help relieve mild symptoms.

  • Allergy Testing: Consult an allergist for proper diagnosis and management. They can perform allergy tests to confirm your sensitivities.

  • Immunotherapy: In some cases, allergy shots (immunotherapy) for the related pollen allergy can help reduce your sensitivity to cross-reacting foods.

Example Scenario:

Let's say you've recently developed a birch pollen allergy. You might find that you're suddenly reacting to raw apples, pears, cherries, or almonds. This is because these foods contain proteins similar to birch pollen. By cooking the apple or avoiding it during birch pollen season, you can likely manage the symptoms.

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