Please select the option that best describes you:
Topics:
Allergy & Immunology • Food Allergy
Is it necessary to test for all tree nuts when a patient presents with IgE medaited symptoms to an isolated tree nut?
We tend to reflexively test for all tree nuts in this case, but is it reasonable to only test for the isolated tree nut and/or the similar nut, such as cashew/pistachio? Other tree nuts are frequently positive on SPT along with IgE, but published data on sensitivity/specificity of SPT and IgE levels for tree nuts make the interpretation difficult.
Answer from: at Academic Institution
Having an allergy to a specific tree nut does not mean a patient will be allergic to others, but there are some that are cross-reactive and it may be worthwhile testing for the cross-reactive tree nut as opposed to testing for all. For example, if the patient had a reaction to cashew, testing for pi...
Sign In or Register to read more