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Rucola (Birch Pollen-Related Oral Allergy Syndrome)
Rucola (arugula) may trigger oral allergy syndrome (OAS) in individuals with birch pollen allergy due to cross-reacting proteins (e.g., PR-10). Symptoms include itching/mild swelling of mouth/throat; rare systemic reactions.
Symptoms
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Itching or Tingling in the Mouth
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Swelling of lips, tongue, or throat
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Mild hives or rash
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Watery or itchy eyes
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Sneezing or runny nose
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Nausea or stomach discomfort
Healing & Prevention
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Avoidance of raw rucola
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Antihistamines
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Oral corticosteroids (for severe reactions)
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Allergy Testing and Immunotherapy
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Peeling or cooking vegetables
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Monitoring for cross-reactivity