Hazelnut Allergy

Food allergies can be debilitating conditions that limit not only your diet but your exposure to other products as well. Hazelnut allergy is a result of an immune reaction that attacks proteins in the nut. This triggers a production of immune chemicals, including antibodies and histamine, that cause the symptoms typical of allergic reactions. To avoid a reaction, avoid exposure to hazelnuts and other particles that may trigger the allergy. Consult your doctor if you suspect you are allergic to hazelnuts.

A bowl of hazelnuts on a wooden table.
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Hazelnut is categorized as a tree nut, together with nuts such as almonds, Brazil nut, pecans and cashews. Although tree nuts are similar, they do come from different and unrelated nut families. Hazelnut belongs to the birch family, as do the hickory nut and filbert. If you are allergic to hazelnuts, you typically also are allergic to the other birch nuts, but might not be allergic to the other tree nut families, according to Dr. Anthony Pong, a lecturer in the department of pediatrics at the University of Ottawa.


Besides getting an allergic reaction when you eat foods that contain hazelnuts, you may also get a reaction to tree pollen. Hazelnut allergy is common in people who are allergic to birch, alder and hazel pollen, according to the Food-Info website, which is an initiative of the Wageningen University. This reactivity between pollen and hazelnut is also known as "food-pollen allergy" or "oral allergy syndrome," which is the effect of cross-reactivity between tree pollen and hazelnut proteins.


Symptoms of hazelnut allergy include blotching, hives, runny nose, watery eyes, choking, asthma symptoms (such as wheezing and difficulty in breathing), vomiting, cramps, diarrhea and swelling, itching, and burning of the mouth, throat or face. Symptoms usually manifest immediately after you consume hazelnut-containing products. Allergic reactions can cease at any time, but they can also progress to a more severe reaction known as anaphylactic shock. Anaphylaxis affects the entire body and can eventually be fatal unless treated with an injection of epinephrine.


If you are diagnosed with hazelnut allergy, you must completely avoid all foods and beverages that contain hazelnuts and other birch nuts. If you also are allergic to other nuts, you need to avoid these as well. Common foods and drinks that contain hazelnut include baked goods, cereals, hazelnut coffee, hazelnut liqueur, chocolate, nougat and hazelnut spread. However, hazelnuts are not easily detectable and trace amounts can be found in foods that have been manufactured in a factory that also processes foods that contain hazelnuts. Allergic reactions are frequently the result of such cross-contaminated products, according to Dr. Pong. Typical items that may trigger an allergic reaction include ice cream, nut breads, cookies, granola bars, candies, suntan lotions, bath oils and shampoos.

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