PMC:4631427 / 12554-13487 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/4631427","sourcedb":"PMC","sourceid":"4631427","source_url":"https://www.ncbi.nlm.nih.gov/pmc/4631427","text":"Similarly, patients allergic to tree nut frequently exhibit sensitization to other tree nuts. In particular, associations between certain nuts, for example, cashew–pistachio and walnut–pecan, are particularly strong. Clinical cross-reactivity to multiple nuts has been reported in up to one-third of patients evaluated for tree nut allergy.47,48 In general, only foods that have elicited reactions should be avoided, and in tree-nut-allergic individuals, previously tolerated individual tree nuts that were negative in skin test can likely be continued. In special circumstances, such as for young children, it is not uncommon to suggest avoidance of all tree nuts as to avoid accidental exposure. Individual tree nuts that have not yet been introduced can be done so by OFC in the office, if necessary. Again, this decision should be made based on clinical history, risk of cross-contamination, age of the patient, and test results.","tracks":[{"project":"TEST0","denotations":[{"id":"26604803-231-237-1382662","span":{"begin":340,"end":342},"obj":"[\"8616415\"]"},{"id":"26604803-234-240-1382663","span":{"begin":343,"end":345},"obj":"[\"9651458\"]"}],"attributes":[{"subj":"26604803-231-237-1382662","pred":"source","obj":"TEST0"},{"subj":"26604803-234-240-1382663","pred":"source","obj":"TEST0"}]},{"project":"2_test","denotations":[{"id":"26604803-8616415-55579357","span":{"begin":340,"end":342},"obj":"8616415"},{"id":"26604803-9651458-55579358","span":{"begin":343,"end":345},"obj":"9651458"}],"attributes":[{"subj":"26604803-8616415-55579357","pred":"source","obj":"2_test"},{"subj":"26604803-9651458-55579358","pred":"source","obj":"2_test"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"TEST0","color":"#93ecc6","default":true},{"id":"2_test","color":"#ecac93"}]}]}}