Pollen Allergy, What Is It?
Medical Editor: William C. Shiel Jr., MD, FACP, FACR
Each spring, summer, and fall, tiny particles are released from trees, weeds,
and grasses. These particles, known as pollen, hitch rides on currents of air.
Although their mission is to fertilize parts of other plants, many never reach
their targets. Instead, they enter human noses and throats, triggering a type of
seasonal allergic rhinitis called pollen allergy, which many people know as hay
fever or rose fever (depending on the season in which the symptoms occur). Of
all the things that can cause an allergy, pollen is one of the most widespread.
Many of the foods, drugs, or animals that cause allergies can be avoided to a
great extent; even insects and household dust are escapable. Short of staying
indoors when the pollen count is high--and even that may not help--there is no
easy way to evade windborne pollen.
Hay fever (Allergic Rhinitis) is the most common of the allergic diseases and
refers to seasonal nasal symptoms that are due to pollens. Year round or
perennial allergic rhinitis is usually due to indoor allergens, such as dust
mites or molds.
What is pollen?
Plants produce microscopic round or oval pollen grains to reproduce. In some
species, the plant uses the pollen from its own flowers to fertilize itself.
Other types must be cross-pollinated; that is, in order for fertilization to
take place and seeds to form, pollen must be transferred from the flower of one
plant to that of another plant of the same species. Insects do this job for
certain flowering plants, while other plants rely on wind transport.
The types of pollen that most commonly cause allergic reactions are produced
by the plain-looking plants (trees, grasses, and weeds) that do not have showy
flowers. These plants manufacture small, light, dry pollen granules that are
custom-made for wind transport. Samples of ragweed pollen have been collected
400 miles out at sea and two miles high in the air. Because airborne pollen is
carried for long distances, it does little good to rid an area of an offending
plant--the pollen can drift in from many miles away. In addition, most
allergenic pollen comes from plants that produce it in huge quantities. A single
ragweed plant can generate a million grains of pollen a day.
The chemical makeup of pollen is the basic factor that determines whether it
is likely to cause hay fever. For example, pine tree pollen is produced in large
amounts by a common tree, which would make it a good candidate for causing
allergy. The chemical composition of pine pollen, however, appears to make it
less allergenic than other types. Because pine pollen is heavy, it tends to fall
straight down and does not scatter. Therefore, it rarely reaches human noses.
Among North American plants, weeds are the most prolific producers of
allergenic pollen. Ragweed is the major culprit, but others of importance are
sagebrush, redroot pigweed, lamb's quarters, Russian thistle (tumbleweed), and
English plantain.
Grasses and trees, too, are important sources of allergenic pollens. Although
more than 1,000 species of grass grow in North America, only a few produce
highly allergenic pollen. These include timothy grass, Kentucky bluegrass,
Johnson grass, Bermuda grass, redtop grass, orchard grass, and sweet vernal
grass. Trees that produce allergenic pollen include oak, ash, elm, hickory,
pecan, box elder, and mountain cedar.
It is common to hear people say that they are allergic to colorful or scented
flowers like roses. In fact, only florists, gardeners, and others who have
prolonged, close contact with flowers are likely to become sensitized to pollen
from these plants. Most people have little contact with the large, heavy, waxy
pollen grains of many flowering plants because this type of pollen is not
carried by wind but by insects such as butterflies and bees.
When do plants make pollen?
One of the most obvious features of pollen allergy is its seasonal
nature--people experience it symptoms only when the pollen grains to which they
are allergic are in the air. Each plant has a pollinating period that is more or
less the same from year to year. Exactly when a plant starts to pollinate seems
to depend on the relative length of night and day--and therefore on geographical
location--rather than on the weather. (On the other hand, weather conditions
during pollination can affect the amount of pollen produced and distributed in a
specific year.) Thus, the farther north you go, the later the pollinating period
and the later the allergy season.