Mountain cedar allergy: A review of current available literature

Objective: To review the literature related to mountain cedar in terms of allergic disease and societal impact. Data Sources: English-language articles obtained through PubMed searches with relevance to mountain cedar allergies. Study Selections: Articles with the following search terms were included: mountain cedar, Juniperus ashei, juniper, allergy, pollen, cedar fever, Jun a 1, and San Antonio. Results: A total of 61 relevant articles were selected regarding mountain cedar and its distribution, phylogenetics, allergens, potency, cross-reactivity, pollen counting and monitoring, symptoms, diagnosis, treatment, and future research. Conclusion: Mountain cedar remains a major cause of allergic rhinoconjunctivitis in the south central United States during the winter months. Key treatment strategies involve a combination of allergen avoidance, pharmacologic therapy, and subcutaneous immunotherapy. Allergists can help affected patients in their management of “cedar fever.”