Lexington, Ky., sits atop the Asthma and Allergy Foundation of America's 2008 ranking of the leading 100 spring allergy capitals.
Trailing Lexington on the annual list are: Greensboro, N.C.; Johnson City, Tenn.; Augusta, Ga.; and Jackson, Miss.
Least likely to make you sneeze and wheeze among the top 100 is Spokane, Wash, preceded by the California cities of San Francisco and Bakersfield, Sarasota, Fla; and Lancaster, Penn.
Spring is the worst season for many of the more than 35 million Americans with hay fever, medically called allergic rhinitis. The AAFA said it based the rankings on criteria including seasonal pollen counts, use of over-the-counter and prescription allergy drugs, and the number of board certified allergists in each city.