Apple allergy is an allergic reaction to proteins found in apples. It's commonly associated with Oral Allergy Syndrome (OAS), particularly in individuals who are also allergic to birch pollen, as the proteins in apples can cross-react with birch pollen. Reactions can range from mild to severe, although severe reactions are less common with apple allergies....


What are symptoms of apple allergy?

  • Itching or tingling in the mouth, lips, and throat
  • Swelling of the lips, mouth, tongue, or throat
  • Hives or skin rash
  • Nausea or stomach discomfort
  • In rare cases, anaphylaxis, a severe allergic reaction

What foods cross-react with apple allergy?

Individuals with apple allergy, especially those with Oral Allergy Syndrome, may also react to:

  • Other fruits, such as pears, cherries, and peaches.
  • Certain nuts, like almonds and hazelnuts.
  • Vegetables such as carrots and celery.

When should I consider getting an apple allergy test?

  • If you experience symptoms of an allergic reaction after eating apples.
  • If you have allergies to birch pollen and experience mouth or throat irritation when eating fresh apples.
  • If you’ve had reactions to other related fruits or nuts.

How do I reduce my apple allergy symptoms?

  • Avoid eating raw apples; cooking apples can often prevent symptoms as heat alters the allergenic proteins.
  • Be cautious with apple-containing products, such as ciders and apple-flavored foods.
  • Read food labels carefully to avoid accidental consumption.
  • For mild symptoms, over-the-counter antihistamines may provide relief.
  • Carry an epinephrine auto-injector if you’ve been prescribed one for severe reactions.
  • Consult with an allergist for specific advice, allergy testing, and management strategies.

Test(s) that measure/test for Apple

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