![]() Ice cream parlors, bakeries, coffee shops and certain restaurants (e.g., Chinese, African, Indian, Thai and Vietnamese) are considered high risk for people with tree nut allergy. Tree nut proteins can be found in some surprising places, such as cereals, crackers, cookies, candy, chocolates, energy bars, flavored coffee, frozen desserts, marinades, barbeque sauces and some cold cuts, such as mortadella. Remember to read food labels and ask questions about ingredients before eating a food that you have not prepared yourself. Pine nut (also referred to as Indian, pignoli, pigñolia, pignon, piñon and pinyon nut)Īllergens are not always present in these food and products, but you can’t be too careful.Nut oils (e.g., walnut oil, almond oil).Nut milk (e.g., almond milk, cashew milk).Natural nut extract (e.g., almond, walnut-although artificial extracts are generally safe).Butternut (also known as white walnuts not squash).This makes it easy to see if tree nuts are present in a food item.Īvoid foods that contain tree nuts or any of these ingredients: ![]() For tree nuts, the specific variety must also be identified on the package. Tree nuts are one of the eight major allergens that must be listed in plain language on packaged foods sold in the U.S., as required by federal law, either within the ingredient list or in a separate “Contains” statement on the package. These issues should be discussed and further evaluated by your allergist and specific allergy testing may be warranted. ![]() You may also be advised to avoid peanuts because of the higher likelihood of cross-contact with tree nuts during manufacturing and processing. For this reason, your doctor may recommend you avoid all nuts. If you’re allergic to one type of tree nut, you have a higher chance of being allergic to other types. To prevent a reaction, it is very important that you avoid all tree nuts and tree nut products. Research shows over 2% of the pediatric population is affected by allergies to tree nuts, and many will carry these allergies into adulthood.² ![]() Tree nuts are also different from seed allergens such as sesame, sunflower, poppy and mustard, which do not grow on trees. These tree nuts are not the same as peanut (only 40% of children with tree nut allergies have an allergy to peanut), which grows underground and is a legume related to beans and peas. In the U.S., plain-language labeling on packaged foods is required for 18 different tree nuts. This binding triggers the person’s immune defenses, leading to reaction symptoms that can be mild or very severe. When a person with an allergy to a particular tree nut is exposed to that tree nut, proteins in the nut bind to specific IgE antibodies made by the person’s immune system. Most children who are allergic to one or more tree nuts do not outgrow their tree nut allergy. The six tree nut allergies most commonly reported by children and adults are allergies to walnut, almond, hazelnut, pecan, cashew and pistachio.Īpproximately 50% of children that are allergic to one tree nut are allergic to another tree nut.¹ Approximately two-thirds of patients reactive to cashew or walnut will react to pistachio or pecan, respectively. Tree nut allergies are among the most common food allergies in both children and adults. ![]()
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