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#1
08-06-2012, 10:45 PM
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Oral Allergy Syndrome?
Brooke has always said that she hated certain fruits but was never really able to express why she didn't like them (the taste, texture, etc) so we just refrained from giving them to her. What she seemed to have the most trouble with was peaches. However, we went to a friends house for dinner last week and Brooke had a bowl of fruit salad (which as we later found out) had peaches in it. Brooke seemed fine in the beginning but about 10 minutes after she started eating, she started coughing and clawing at her throat. No one could tell what was wrong with her and she was just yelling "it itches, it itches!!" Her lips looked swollen and red but I looked at her mouth and throat and they looked fine. I rinsed her mouth out with water and she seemed to calm down a little after that but my first though was WTH was that about?
 How does she go from eating peaches and just not liking them to seemingly having an allergic reaction to it? I took her in to the pedi. first thing the next morning and after describing the incident the day before and talking about the other fruits that Brooke has a "dislike" for, she came to the conclusion that Brooke has Oral Allergy Syndrome. Brooke has had mild allergies to pollen since she was a toddler but they have never been anything that Claritin couldn't alleviate. Apparently, there are proteins in the skin of certain raw fruits and vegetables that react in the same way as pollen. She said the proteins that cause these reactions are denatured by heat so typically eating the food cooked presents no problems. However, her Dr. said that since the reaction to the peaches did cause swelling in her mouth area that she should probably stay away from them if at all possible and if she does accidently eat them and she starts reacting like this again, to give her Benadryl and she prescribed her and epi pen in case the reaction to this food or any other one causes a more severe reaction than this one. Does anyone have experience with this? I had never even heard of it until now. How do you handle school as far as explaining how to handle this (most kids are allergic to peanuts or shellfish, not peaches). Her Dr. said it is technically not a food allergy, but more of a cross reaction even though what it can cause could be classified as an allergic reaction. Anyone have experience with this with their child or themselves?
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Lauren-Married to my sweetheart Mark and Mom of 6 wonderful Kiddos Dylan 15, dx'd 4/3/08 pumping with Omnipod since 5/3/11 Simon 14, non-d Brooke, 10 dx'd 8/1/08 pumping with Animas Ping since 7/6/11 also Asperger's Syndrome Tresston, 3 non-d Samantha, 2 non-d Collin, 16 months non-d 
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#2
08-07-2012, 01:08 AM
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Wow that must have been scary. I'm glad you went to the doctor and found out how to treat it and what to do. I have always heard that you may not have an allergic reaction the first time you eat something or get stung by a bee etc, but after the first time your body will react more strongly to the thing you are allergic to. For the school, I would notify them and make sure she has her epi pen with her at all times and one for the teacher and the nurse. Also I would provide benadryl for the nurse and teacher although it may be difficult to get them authorized to gve it to her. Did your doctor suggest blood tests to find out if she is allergic to anything else? I would pusue that. Given the severity of her reaction I would have the information added to her medic alert bracelet if she has one for D, or get her one if she doesn't have one
I did a web search and found a lot of sites that discuss oral allergy syndrome. I didn't look at them all but the first listing, the Wikepedia one, was quite informative. http://www.google.com/search?q=oral+...&client=safari
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Susan Grandma to Hailey age 10 dx type 1 age 4 pumping with Omnipod since 8/09 and Faith age 7 and now little Macey Ella age 1 year Dx with allergies to nuts, wheat, eggs, and soy True heroism consists in being superior to the ills of life, in whatever shape they may challenge us to combat. Napoleon I (1769-1821) Napoleon Bonaparte. French general. Last edited by sooz; 08-07-2012 at 04:22 AM.
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#3
08-07-2012, 04:40 AM
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Sounds way to similar. My daughter has always disliked certain foods, so we did not force them. Now though as she has matured she has tried a few, we have found her to be allergic to the point of not being able to eat them. Her reaction is usually a scratchy throat but if she pushes it because she does like the taste she progresses to a bad all over rash and severe stomach pains. We carry benadryl and epi pens everywhere. Our doctor calls them food allergies. Our list now includes shellfish, barley, chocolate, black pepper, she is also orally allergic th latex. The school handling is very easy. Teachers in our area are trained to use epi pens because they do not require mixing. The school just added another health alert for everyone who cares for her.
By the way, all her tests are positive by scratch test or witnessed reaction, but blood tests show nothing. I have never heard of the oral sensitivity. I am going now to read more if a reliable medical site has info to go with Wikipedia.
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Desiree Mother to 16 year old DD dx 10/23/09 T1, Omni Pod 9/14/12 w/Apidra, Dexcom G4 CGM 3/5/13, latex allergy 7/15/10, Asthmatic 08/08/10, Vocal Dysfunction 2/7/13, and gastroparisis 3/21/12
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#4
08-07-2012, 06:23 AM
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Quote:
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Susan Grandma to Hailey age 10 dx type 1 age 4 pumping with Omnipod since 8/09 and Faith age 7 and now little Macey Ella age 1 year Dx with allergies to nuts, wheat, eggs, and soy True heroism consists in being superior to the ills of life, in whatever shape they may challenge us to combat. Napoleon I (1769-1821) Napoleon Bonaparte. French general.
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#5
08-07-2012, 08:00 AM
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I have oral allergy syndrome.. when I was little no one knew what was going on and my mother always thought I was just trying to get out of eating fruits and veggies. You can look up online and see what fruits/veggies proteins are similar to what pollens she's allergic too. I have a reactions to apples, peaches, sometimes tomatoes, celery is the worse, carrots, grapes, kiwi.. most all of the raw fruits bother me, also nuts, I can not eat peanuts raw, sometimes just the smell will irritate me, but I can eat commercial peanutbutter because its processed, however I can not eat 'natural' peanut butters because that is just crushed nuts, not processing so I get the same reaction...when I eat these things I get hives in my mouth, my throat itches and my lips swell. This shouldn't turn into a anaphylaxis event, its more irritating than anything. I do stay away from these as much as possible.. however eating any of these things cooked do not bother me because the protein is changed when they are processed (canned fruit is also ok, because its processed-cooked-when canned).
Edited to add the following link.. its a good list of what foods are associated with OAS. This link has a list of what foods are associated with what pollen.. I tried to copy and paste it but it came out in a way that you couldn't see what was associated with what pollen. http://www.mayoclinic.com/health/foo...ction=symptoms http://www.calgaryallergy.ca/Article...od_Allergy.htm Fruit, Vegetable & Nut Allergies Associated with Spring Allergies (due to tree pollen) Webmaster note: For more foods, see the "Botanical List of Food Families" article FRUITS: APPLE family (apple, pear) VEGETABLES:PLUM family (plum, peach, prune, nectarine, apricot, cherry) KIWI PARSLEY family (carrot, celery, dill, anise, cumin, coriander, caraway) POTATO family (potato, tomato, green pepper) NUTS: LEGUMES:Hazelnut, walnut, almond Peas, beans, peanut SEEDS: Sunflower  Ragweed allergy (which causes hayfever in August and September) can be associated with allergies to raw bananas, and the members of the gourd family (melon, watermelon, honeydew, cantaloupe, zucchini and cucumber). Grass allergy can be associated with allergies to orange, melon, watermelon, tomato, kiwi, peanut. These allergic reactions usually occur only when the food is raw. People who are allergic to the raw food can eat it cooked, canned, microwaved, processed or baked. For example, someone allergic to raw apples can eat apple sauce, apple jelly, apple juice, apple pie and dried apples. However, nuts may cause allergic reactions whether raw or cooked. This problem is usually life long. Allergy tests to these foods may sometimes be negative unless a fresh fruit is used for the test (instead of a commercial allergy extract). The allergic reaction to these foods can occur anytime of the year when eating the foods but can be worse during the pollen season and especially if hayfever is very troublesome that year. The allergic reaction is not due to pesticides, chemicals or wax on the fruit. Howeve,r because the more allergic part of the fruit may be in the skin, some people allergic to fruits, e.g., peaches, can eat the flesh without reaction if the skin is peeled away. Similarly for apples, some brands of apples cause more allergic reactions than others. Freshly picked apple, e.g., straight from the tree or an unripe apple, may cause fewer allergic reactions than one which is very ripe or one which has been stored for weeks after picking. Severe allergic reactions to foods causing Oral Allergy Syndrome are most likely to occur with celery, kiwi, peaches, apricots, apples and nuts, especially hazelnuts. Management of Oral Allergy Syndrome
Substitute Raw Fruits Berries* (strawberry, blueberry, raspberries, etc.), citrus* (orange, mandarins, etc.), grapes, currants, gooseberries, guava, mango, figs, pineapple, papaya, avocado, persimmon, pomegranates, watermelon*. Substitute Raw Vegetables MUSTARD family (cabbage, cauliflower, broccoli, watercress, radish GOOSEFOOT family (spinach, swiss chard) COMPOSITE family (green onions) Substitute Nuts Peanut*, cashew, pistachio, brazil, macadamia, pine nut. *May occasionally cause Oral Allergy Syndrome.
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K, 9.5yrs, dx 1/06 @35months Pumping MM 723 w/ Mio sets and Apidra Celiac dx 5/08 Cgms-ing 11/07 Podding for 'tubing' breaks 4/11
Last edited by Flutterby; 08-07-2012 at 10:07 AM.
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#6
08-07-2012, 08:04 AM
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Quote:
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K, 9.5yrs, dx 1/06 @35months Pumping MM 723 w/ Mio sets and Apidra Celiac dx 5/08 Cgms-ing 11/07 Podding for 'tubing' breaks 4/11
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#7
08-07-2012, 08:41 AM
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I have this as well, although not severe enough to cause actual swelling. It does feel like my gums are swollen, and I get itchy around my mouth, and sometimes feel it all the way down my throat. I've had pollen allergies since I was little, and I can't eat raw stone fruit, apples, pears, or carrots. Peanut butter gives me very slight asthma symptoms. I also have to peel potatoes under running water or I'll get a full-on itchy eyes, throat, sneezing attack (I sneeze with vodka, too). Melons and citrus are fine for me. Anything cooked is fine. I take an allergy pill daily, but it doesn't help with the food.
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#8
08-07-2012, 10:04 AM
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For my sister, it is mangos - she cannot touch the skin but she can eat it peeled (not oral allergy, but very similar). For me, unfortunately, it is plums. I love plums, but in the last few years, itchy mouth and throat have started happening, and now I get a fever blister the next day as well.
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I'm still here. DD - 15 - Lantus and MM Pump/Dex G4
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#9
08-07-2012, 02:41 PM
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Quote:
__________________
Desiree Mother to 16 year old DD dx 10/23/09 T1, Omni Pod 9/14/12 w/Apidra, Dexcom G4 CGM 3/5/13, latex allergy 7/15/10, Asthmatic 08/08/10, Vocal Dysfunction 2/7/13, and gastroparisis 3/21/12
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