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The Tree Nut Allergy

Presentation By: Megan Martin, Thomas Goeke
The 12 Edible Tree Nuts
 Almonds
 English Walnuts
 Hazelnuts/Filberts
 Chestnuts
 Pecans
 Cashews
 Pine Nuts
 Pistachios
 Macadamia Nuts
 Brazil Nuts
 Black Walnuts
 Coconuts
Background Information
 An allergen is defined as a protein that causes and abnormal immune reaction
that can often be dangerous to the person’s health.
 About 1.1% of Americans are affected by Peanut and/or Tree Nut Allergies
 Of these 12 tree nuts, all have the potential to cause allergies
 Some allergies are more common than others
 English Walnuts
 Hazelnuts
 Almonds
 Cashews
 Brazil Nuts
 Pistachios, Pine Nuts, Macadamia Nuts are less commonly reported
 Chestnuts, Black Walnuts, and Coconuts are very rare and almost never
studied
Common Food Sources of Tree Nuts

o Snack and Trail Mixes o Barbeque Sauces
o Granola and Granola Bars o Some Cold Cuts
o Breakfast Cereals o Some Alcoholic Drinks
o Energy Bars o Salads and Salad Toppings
o Chocolates/Candies o Pasta Dishes and Sauces
o Flavored Coffee and Creamers o Seafood Dishes
o Snack Crackers o Ice Cream
o Cookies, Desserts, and Other Baked Goods o Smoothies and other blended beverages
o Marinades
Symptoms of an Allergic Reaction
 Symptoms vary from person to person and the severity of the individuals
allergy
Severe Symptoms Include Mild Symptoms Include

o Obstructive swelling of the lips, o Hives (reddish, swollen, itchy areas on the skin)
tongue, and/or throat o Rash (normally dry, itchy, and persistent)
o Trouble swallowing o Redness of the skin or around the eyes
o Itchy mouth or inner ear
o Shortness of breath or
o Nausea or vomiting
wheezing o Diarrhea
o Turning blue
o Stomach or abdominal pains
o Drop in blood pressure (feeling o Nasal congestion or a runny nose
faint, confused, weak, passing o Sneezing
out) o Slight, dry cough
o Loss of consciousness o Odd taste in mouth
o Chest pain o Uterine contractions
Treating/Managing a Tree Nut Allergy

 There is no cure
 The only treatment for a reaction is an epinephrine dose, and can be
administered by the individual through the form of an Epi Pen or other auto-
injectors
 Recommended that one should always seek medical treatment, even when
Epi-Pen is affective in reversing the reaction
 Recommended that those identified as having a tree nut allergy also be
allergen tested to identify other possible triggers
 Large correlation between those with peanut allergies and tree nut allergies
 Some possibility that the allergy can be outgrown but there is still a chance of
recurrence
Avoiding Accidental Contact

 Be attentive
 Read Labels
 Check ingredient Lists
 Check Allergen Statements
 Ask Questions
 Make restaurant staff aware of allergies
 Double Check!
 Look for Allergen Free Statements
References
 Allergy/Allergen Definition. Dictionary.com. Dictionary.com, Web. 05Nov. 2015.
 Fleischer, D. (2007). The Natural History of Peanut and Tree Nut Allergy. Current
Allergy & Asthma Reports, 7(3), 175-181.doi:10.1007/s11882-007-0018-y
 Food Allergies: Reducing the Risks. (2015, September 10). Retrieved November 6,
2015, <http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm089307.htm>
 Food Allergies: What You Need to Know. (2015, September 2). Retrieved November 6,
2015,<http://www.fda.gov/Food/IngredientsPackagingLabeling/FoodAllergens/ucm0
79311.htm>
 Sicherer, S., Munoz-Furlong, A., & Samson, H. (2003, December 11). Prevalence of
Peanut and Tree Nut Allergies in the US. Retrieved November 6, 2015.
 Teuber, S., Comstock, S., Sathe, S., & Roux, K. (2003). Tree Nut Allergy. Current
Allergy & Asthma Reports, 3(1), 54-61.doi:10.1007/s11882-003-0013-x
 Tree Nut Allergy - Food Allergy Research & Education. American Academyof Allergy,
Asthma and Immunology (ACAAI). (n.d.). Retrieved November 6, 2015.
<http://www.foodallergy.org/allergens/tree-nut-allergy>
Any Questions