nuts cashew almonds walnuts pecans pistachios

Tree Nuts and Diet

The most common tree nuts include macadamia nuts, Brazil nuts, cashews, almonds, walnuts, pecans, pistachios, chestnuts, hazelnuts (filberts), and pine nuts (pignoli or pinon). Less common tree nuts include beechnuts, butternuts, chinquapins, gingko, hickory nuts, lychee nuts, pili nuts, and shea nuts.

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Allergies to More than One Nut: People can be allergic to one type of tree nut, to some tree nuts, or to many tree nuts but not to other types of tree nuts. That is because some tree nuts contain similar proteins—for example, almonds and hazelnuts contain similar proteins, as do walnuts and pecans, and pistachios and cashews. Because of these protein similarities, it is common for an individual to have an allergy to both nuts. For instance, if you are allergic to cashew, you have a greater risk of being allergic to pistachios, as well.

However, most people with a tree nut allergy are not allergic to all tree nuts. The decision to avoid all tree nuts when there is an allergy to one or more tree nuts is a personal one and one you should discuss with your doctor. In food production, the risk of cross contact with multiple tree nuts is higher, which has led many health professionals to recommend avoidance of all tree nuts.

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Symptoms Associated With Tree Nut Allergy: tingling of the lips, itching of the mouth, ears, and eyes, oral allergy syndrome, contact dermatitis, throat tightening, urticaria (hives), angioedema, conjunctivitis, asthma (in asthmatics), abdominal pain, diarrhea, vomiting, anaphylaxis

Anyone with a tree nut allergy (or caring for a child with a tree nut allergy) should be thoroughly briefed on reading labels, the symptoms of severe food allergies, and treating food allergies.