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Woman with Christmas tree allergy

Help! The Holidays Give Me Hives!

Can someone actually be allergic to Christmas? Individuals who always seem to be “coming down with something” around the holidays may just be reacting to living with a live tree that triggers an immune response. Symptoms often mimic a cold and might include a runny nose, itchy watery eyes, sneezing, coughing and more.

In addition, Christmas Tree Syndrome is a real diagnosis that affects some people who are sensitive to pine trees as well as what’s hiding within the branches: mold, dust mites, pollen, insect droppings and even the tree’s signature scent.

Making matters worse, Christmas Tree Rash is a contact dermatitis caused by terpene, a substance found in the sap of trees, that can provoke itchy red rashes. Avoiding live trees and wreathes is the best prescription, but if a live tree is a must have, it helps to shake out the tree to free it from insects, spray it thoroughly with a hose then let it dry outside for a few days before bringing it in. Cover skin when handling. An air purifier may help reduce airborne pollen.

While an artificial tree seems to be the best solution, you aren’t completely off the hook. If not stored properly, dust and mold can trigger similar allergic reactions. Store the tree properly in an air-tight plastic bag or sealed box and clean it prior to setting up.

Deck the Halls…

While it’s fun to dust off the ornaments that have been tucked away in the attic all year, decorations can gather dust, even mold that can trigger allergic reactions. These should be stored in a clean, climate-controlled area year-round in air-tight containers. Gently wipe ornaments prior to repacking to remove dust.

Gathering around the Fireplace

While gathering around a woodburning fireplace may provide the perfect “Insta-worthy” image, it’s best to think twice if you are prone to asthma or allergic reactions. The smoke emitted from wood-burning fireplaces can trigger asthma. Scented candles can also cause asthma flare-ups as well as induce headaches and watery eyes. Those made with soy rather than wax can make a difference, and some essential oil fragrances may be tolerated better than those with synthetic fragrances. According to the American academy of Dermatology, there are more than 5,000 different fragrances utilized in today’s fragranced candles. Best bet? Create holiday ambiance with unscented candles.

If you suspect that you have asthma or allergies, getting tested is easy. Visit a board-certified allergist for advice and testing to enjoy a healthier and happier holiday!

Dr. Manav Segal

Dr. Manav Segal, of Chestnut Hill Allergy & Asthma Associates, is a leading Philadelphia-area allergist and immunologist who treats asthma and allergies in children and adults and provides breakthrough Oral Immunotherapy (OIT) to treat severe food allergies. Dr. Segal is Board certified by the American Academy of Allergy, Asthma and Immunology and the American Board of Internal Medicine, and is Chief of Allergy & Immunology at Chestnut Hill Hospital.

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