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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.

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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

  • Itching or Tingling in the Mouth
  • Swelling of lips, tongue, or throat
  • Mild hives or rash
  • Watery or itchy eyes
  • Sneezing or runny nose
  • Nausea or stomach discomfort

Healing & Prevention

  • Avoidance of raw rucola
  • Antihistamines
  • Oral corticosteroids (for severe reactions)
  • Allergy Testing and Immunotherapy
  • Peeling or cooking vegetables
  • Monitoring for cross-reactivity

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