oa Current Allergy & Clinical Immunology - Allergy to apple seeds in a peanut-allergic child - : case report

Volume 29, Issue 3
  • ISSN : 1609-3607



Allergic reactions to fruits are commonly described, resulting most frequently in symptoms of the oral allergy syndrome (pollen fruit syndrome), and less often in more severe reactions and anaphylaxis. The flesh or pulp of the fruit is most commonly the cause of such reactions. Less commonly described are allergic reactions to the seeds ('pips') of fruits, reported in only a handful of case reports, but probably under-recognised. This case report describes a young boy, with a known allergy to peanuts, who experiences an allergic reaction when biting into seeds of both apples and watermelons, but is tolerant of the fruit pulp. It is one of very few cases in the literature that describe an allergy to a non-citrus fruit seed.

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