DRAGON FRUIT ALLERGY
Key Allergens
Dragon fruits are fruits from plants in the
Cactaceae, family of plants which include many species of cacti. The fruits from cacti are also sometimes called
pitaya
The seeds in the fruit are the most likely culprits for causing allergic reactions.
Dragon fruits contain
profilin proteins and
Lipid Transfer Proteins.
Food Intolerances
Dragon fruits are a low 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.
Dragon fruits are also low in
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.
Associated Syndromes
Allergy to profilin proteins can be linked to
Celery Mugwort Spice Syndrome. This is where a person is sensitised to profilin in plant pollens and subsequently gets oral allergy type symptoms to eating foods which contain the same protein.
People with multiple allergies to foods can sometimes link it to
LTP (Lipid Transfer Protein) Syndrome. The symptoms of this condition are usually more severe than CMS Syndrome and can include anaphylaxis.
Cross Reactivity
Other foods which contain profilins can include apple, banana, carrot, date, eggplant, fig, grape, hazelnut, kiwi, lychee, mango, mustard, onion, parsley, rice, soya, strawberries and walnuts.
Lipid Transfer Proteins are found in apricot, blueberry, cherry, fig, green beans, kale, lettuce, orange, peach, raspberries and tomato.
Note these food lists are not exhaustive, you can find the most up to date information on the Cross Reactivity Tool.
Resources
Websites
Science Direct - Hylocereus
Science Direct - Pitaya
FODMAP Every Day - Dragon Fruit
Low Sal Life - Dragon Fruit
Articles and Journals
Red pitaya (Hylocereus polyrhizus) as a source of betalains and phenolic compounds: Ultrasound extraction, microencapsulation, and evaluation of stability, 2024
High pan-allergen content in mango and peach in Taiwan, 2023
Identification of Allergens in White- and Red-Fleshed Pitaya (Selenicereus undatus and Selenicereus costaricensis) Seeds Using Bottom-Up Proteomics Coupled with Immunoinformatics, 2022
The Biochemical Basis and Clinical Evidence of Food Allergy Due to Lipid Transfer Proteins: A Comprehensive Review, 2014
Anaphylactic shock due to kiwifruit, 2012
Anaphylactic reaction to (mixed) fruit juice containing dragon fruit, 2009
Allergy to red pitaya, 2008
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