CABBAGE ALLERGY
Key Allergens
Cabbages are vegetables in the
Brassicaceae family of plants which also includes brocolli, wasabi, mustard, rapeseed and radish.
The scientific name for cabbage is
Brassica oleracea, this is the same plant that produces brocolli, cauliflower, kale and kohlrabi.
The allergen most commonly associated with a cabbage allergy is Bra o 3. This is a
Lipid Transfer Protein, these proteins are resistant to heat and are found in many types of plants. Patients suffering from a more severe allergy to cooked fruit may be sensitised to this group of proteins.
Food Intolerances
When pickled cabbage is high in
sulphites. Fresh or cooked cabbage is fine to eat on a low sulphite diet. Sulphites are inorganic salts used in preservations and have the potential to cause symptoms of food intolerance to those sensitive to sulphites, this food intolerance is more common in asthmatics. An improvement in symptoms can be made with a change to a low sulphite diet.
Cabbage is a high FODMAP food.
FODMAP stands for
Fermentable
oligosaccharides,
disaccharides,
monosaccharides
and
polyols. 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.
Cabbage is low in
salicylates. Foods high in salicylates have the potential to cause gastrointestinal food intolerance symptoms in people who are sensitive to salicylates.
You can read more about
Food Intolerances on the dedicated Food Intolerance Page.
Associated Syndromes
You may be suffering from
LTP Syndrome if you have reactions to various fruits, vegetables and nuts and your reactions continue to be severe after you have discarded the peel and have cooked the food.
Cross Reactivity
Common foods involved in LTP allergy include kiwi, strawberries, sunflower seeds, walnut, apple, mulberry, banana, pea, apricot, cherry, plum, almond, peach pomegranate, raspberry, tomato, grape, celery, peanut, asparagus, cabbage, broccoli, chestnut, lemon, tangerine, orange, hazelnut, lettuce, lentils, lupin, green bean, pear, mustard, wheat and maize.
Note that the food lists are not exhaustive, the most up to date information is on the Cross Reactivity Tool.
Resources
Websites
Allergen Encyclopedia - Cabbage
Lipid Transfer Proteins (LTP Syndrome)
'New' type of food allergy reported in UK for first time
Anaphylaxis Campaign - Allergy to Vegetables
Allergy information for: Cabbage (Brassica oleracea var. capitata Cruciferae (Brassicaceae))
Healthline - FODMAP Foods
ATP Science - Salicylate Foods
Articles and Journals
Reported food-related symptoms and food allergen sensitization in a selected adult population in Hyderabad, India: A hospital-based survey, 2024
Kale allergy, a new member in LTP syndrome, 2023
Different Patterns of Foods Triggering FPIES in Germany, 2022
Treatment with lipid transfer protein sublingual immunotherapy: slowing down new sensitizations, 2021
Sensitisation to lipid transfer proteins in pollen – allergic adults with food allergy, 2020
Lipid Transfer Protein allergy in the United Kingdom: Characterization and comparison with a matched Italian cohort, 2019
Allergy to LTP: to eat or not to eat sensitizing foods? A follow-up study, 2018
Cabbage Allergy: A Rare Cause of Food-induced Anaphylaxis, 2012
IgE-mediated allergy to raw cabbage but not to cooked, 2009
Cabbage lipid transfer protein Bra o 3 is a major allergen responsible for cross-reactivity between plant foods and pollens, 2006
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