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. 2022 Apr 11;15(4):100641. doi: 10.1016/j.waojou.2022.100641

Table 3.

Relationship between specific IgE levels for lemon seed, orange seed, cashew, pistachio, and Ana o 3.

Cashew Pistachio Ana o 3
All children (n = 103) Lemon seed 0.9 0.9 0.79
Orange seed 0.85 0.85 0.75
Children exclusively sensitized to seed storage allergens (n = 51) Lemon seed 0.97 0.94 0.84
Orange seed 0.94 0.91 0.84

Sera from 103 children (63 allergic to cashew, 63 allergic to pistachio, 5 with a positive challenge to orange/lemon seeds, and 11 children with a history highly suggestive of orange/lemon seed allergy) were analyzed for sIgE against cashew, pistachio, orange, and lemon seed extracts, and Ana o 3 by ImmunoCAP. Lemon and orange seed-specific IgE levels were found to be highly correlated with IgE levels to cashew and pistachio, with the r ranging from 0.85 to 0.90. After exclusion of sera from children sensitized to pan-allergens (LTP, PR-10, profilin, and CCD/n = 51), the observed correlations were exceedingly high, with r correlation coefficients >0.9, as shown in bold. These data were presented as a poster at The European Academy of Allergy and Clinical Immunology Annual Congress 201481, but have not been published in a journal. These data were printed with written permission from Savvatianos et al. CCD, cross-reactive carbohydrate determinants; nsLTP, non-specific lipid transfer protein; PR-10, pathogenesis-related protein type 10