Apple allergy: what to do if you have an allergic reaction?

allergy to apples
Viktor Levchenko
Author allergist
Viktor Levchenko
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Apple allergy is a common phenomenon that can manifest itself in varying degrees of severity. In this article we will look at the causes, symptoms, diagnosis and treatment of apple allergy.

What is an apple allergy?

An allergy to apples is an immune response of the body to certain proteins contained in apples. Allergies can occur to both red and green apples, because they contain similar allergens. In some cases, cross-allergies to apples and other fruits or foods may occur.

What are the symptoms of apple allergy?

An apple allergy can manifest as the following symptoms:

  • Itching and redness of the skin;
  • Swelling on the face, lips, or tongue;
  • Runny nose, stuffy nose;
  • Urticaria;
  • Diarrhea, nausea, or vomiting;
  • Bronchospasm or asthmatic attack.

Who is susceptible to apple allergy?

Apple allergy can occur in people with a genetic predisposition to allergic reactions, as well as in those who already suffer from other forms of allergy, such as pollen allergy or atopic dermatitis.

How to diagnose an apple allergy?

diagnosis of apple allergy

The following methods are used to diagnose apple allergy:

  • Anamnesis - collecting information about symptoms, the products causing the allergic reaction, and a family history of allergies.
  • Skin tests-applying apple extract to the skin and evaluating the reaction.
  • A blood test for antibodies (IgE) to apple allergens.

When conducting treatment tests the doctor may suggest that the patient exclude apples from his diet for a certain period of time, and then gradually introduce them into the menu and observe the possible reactions. This helps to clarify the diagnosis and determine the patient's individual tolerance to apples.

How to treat apple allergy?

The main method of treating an apple allergy is to avoid contact with the allergen - avoiding apples and apple-based products in your diet. 

What medicines can help with apple allergy?

Depending on the symptoms of apple allergy, the doctor may prescribe different medications:

Antihistamines: Cetirizine, Loratadine, Fexofenadine;

Corticosteroids: Prednisolone, Hydrocortisone;

Bronchodilators: Salbutamol, Formoterol.

It is important to remember that all medications should be prescribed by a doctor and taken strictly according to the recommendations of a specialist.

How to prevent allergies to apples?

preventing apple allergies

The following steps can be taken to prevent allergies to apples:

  • Avoid eating apples and apple-based products if you have or suspect an apple allergy.
  • Introduce new foods into your diet gradually and monitor your reaction to them carefully.
  • See your allergologist for a diagnosis and recommendations for diet and treatment.

What foods should I avoid if I have an apple allergy?

Not only apples, but also products based on apples should be avoided in case of allergy to apples:

  • Fresh apples (red and green);
  • Juices and compotes made from apples;
  • Apple puree and jam;
  • Apple cider vinegar;
  • Apple chips.

You should also be careful of foods that contain cross-allergens, such as pears, cherries, peaches, plums and some nuts.

Apple allergy is a fairly common condition that can manifest itself with a variety of symptoms. If you suspect that you may be allergic to apples, be sure to see an allergist for diagnosis and appropriate treatment. Following the recommendations of a specialist and being cautious when eating apple-based products will help to avoid allergic reactions and keep you healthy.


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