<unk>  must be managed in conjunction with the patient's other<unk> es, primarily the<unk>  to pollen. The symptom severity may wax and wane with the pollen levels. Published pollen counts and seasonal charts are useful but may be ineffective in cases of high wind or unusual weather, as pollen can travel hundreds of kilometers from other areas. In addition, patients are advised to avoid the triggering foods, particularly nuts. Peeling or cooking the foods has been shown to eliminate the effects of some<unk> ns such as mal d 1 (apple), but not others such as celery or strawberry. In the case of foods such as hazelnut, which have more than one<unk> n, cooking may eliminate one<unk> n but not the other. Antihistamines may also relieve the symptoms of the<unk>  by blocking the immune pathway. Persons with a history of severe anaphylactic reaction may carry an injectable emergency dose of epinephrine (such as an EpiPen).<unk>  steroids may also be helpful.<unk>  immunotherapy has been reported to improve or cure<unk>  in some patients. Immunotherapy with extracts containing birch pollen may benefit<unk>  sufferers of apple or hazelnut related to birch pollen-allergens. Even so, the increase in the amount of apple/hazelnut tolerated was small (from 12.6 to 32.6 g apple), and as a result, a patient's management of<unk>  would be limited.
Oral allergy syndrome
Burning mouth syndrome
Dermatophagia
Neck-tongue syndrome
Drug-induced angioedema
Hereditary angioedema
Factitious airs
Mucus fishing syndrome