“…Extra-oral affectation is generally on the face and neck with hives, atopic dermatitis, itching of the ears and a runny nose, oral itching, tearing, periorbital oedema, retractions without respiratory obstruction and sneezing (2). On certain occasions there may be systematic clinical symptoms like: Nauseas, vomiting, stomach aches and diarrhoea, general eczema, asthma, hives, laryngeal oedema or even in isolated cases, anaphylactic shock (10,17,18). OAS may occur during any part of the year, but is often worsened during the season of the pollen instigating it.…”