BRAZIL NUT ALLERGY
Brazil Nuts are classified as tree nuts and are in the top 14 allergens which have to be declared on food packaging in Europe.
Brazil Nuts are in the Lecythidaceae
family of plants, other plants in this family include the paradise nut which is found in Central and South America.
There are 2 allergens involved in allergy to brazil nuts. Ber e 1 is a 2S albumin seed storage protein
and is considered to be the main allergen linked to allergic reactions. This is why most nuts are grouped together for the purpose of labelling as sufferers of this allergy are most often allergic to multiple types of tree nuts, peanuts and seeds.
Ber e 2 is an 11S globulin seed storage protein
. These are often also referred to as legumins.
Brazil Nuts are low in histamine, so are suitable for people following a low histamine diet.
Brazil Nuts are a low FODMAP food. FODMAP
stands for F
olyols. Foods high in FODMAPs can cause symptoms of food intolerance, affecting the gastro intestinal system and this can be mistaken for a true IgE food allergy.
Brazil nuts contain a moderate amount of salicylates
. Salicylates have the potential to cause worsening of asthma, swelling, itching and hives as well as food intolerance symptoms in people who are sensitive to salicylates.
You can read more about Food Intolerances
on the dedicated Food Intolerance Page.
Brazil Nut allergy is not currently associated with any allergic syndromes.
Other food containing 2S albumin seed storage proteins are cashews, peanuts, almonds, mustard seed, rapeseed, turnip, chickpeas, hazelnuts, pistachio, buckwheat, soya beans, sunflower seeds, walnuts, kiwi, castor beans and sesame seeds.
There is a lot of cross reactivity between 2S and 11S seed storage proteins, the only other food containing 11S proteins not mentioned above is pumpkin.
Please note that these food lists are not exhaustive, the most up to date information is on the Cross Reactivity Tool.
Allergen Encyclopedia - Brazil Nuts
What Are the Symptoms of a Nut Allergy?
Allergy UK - Quick Guide to Tree Nut Allergy
FARE - Tree Nut Allergy
AAAAI - Tree Nut Allergy
Anaphylaxis Campaign - Peanut and Tree nut allergies
Can You Be Allergic to Just One Type of Tree Nut?
Anaphylaxis Campaign - Brazil Nuts
Allergy information for: Brazil nut (Bertholletia excelsa)
Histamine Food List
ATP Science - Salicylate Foods
Healtline - FODMAP Foods
Articles and Journals
TreEAT trial: Protocol for a randomized controlled trial investigating the efficacy and safety of early introduction of tree nuts for the prevention of tree nut allergy in infants with peanut allergy, 2023
Tree nut introduction in infants with peanut and/or egg allergy, 2023
Recent advances in diagnosing and managing nut allergies with focus on hazelnuts, walnuts, and cashew nuts, 2022
Tolerance induction through non-avoidance to prevent persistent food allergy (TINA) in children and adults with peanut or tree nut allergy: rationale, study design and methods of a randomized controlled trial and observational cohort study, 2022
Prevalence and early-life risk factors for tree nut sensitization and allergy in young adults, 2021
Defining challenge-proven coexistent nut and sesame seed allergy: A prospective multicenter European study, 2020
Tree nut allergens, 2018
Current perspectives on tree nut allergy: a review, 2018
2S Albumin Storage Proteins: What Makes them Food Allergens? 2008
A voluntary registry for peanut and tree nut allergy: characteristics of the first 5149 registrants, 2001
Sensitization to the major allergen of Brazil nut is correlated with the clinical expression of allergy, 1998
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