RHUBARB ALLERGY
Key Allergens
Rhubarb is a plant in the
Polygonaceae family of plants. Other plants in the family includes buckwheat.
The leaves of the plant contain oxalic acid, which are toxic if eaten, there is a lesser amount at the top of the stalks. This does not cause any harm when eaten in normal portion sizes.
Wild rhubarb contains
furanocoumarins. These chemicals can get on the skin and in combination with ultraviolet light (sunlight) can cause a sunburn like rash. Furanocoumarins are found in higher concentrations in fresh herbs and are natural irritants which can cause allergic contact dermatitis. This is more common in occupations where you are frequently coming into contact with the food, like chefs, cooks, growers and pickers.
Food Intolerances
Rhubarb is 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.
Rhubarb is a food 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
Harvesting rhubarb, in particular contact with rhubarb leaf, can sometimes result in skin irritation due to the oxalic acid.
Rhubarb can also be associated with phytophotodermatitis from the furanocoumarins in the plant which cause blistering in the sun, this can look like a contact allergic reaction.
Cross Reactivity
Rhubarb is not linked with any other food allergies, but if you are allergic to it, you may also want to avoid buckwheat, which is in the same family of plants.
Resources
Websites
Science Direct - Rubarb
Science Direct - Oxalic Acid
FODMAPedia - Rhubarb
ATP Science - Salicylate Foods
Articles and Journals
A Review of the Efficacy of the Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols (FODMAP) Diet in Managing Gastrointestinal Symptoms Related to Cancer Treatment, 2024
Varietal Differences in Juice, Pomace and Root Biochemical Characteristics of Four Rhubarb (Rheum rhabarbarum L.) Cultivars, 2023
The Health Benefits of Emodin, a Natural Anthraquinone Derived from Rhubarb—A Summary Update, 2021
Allelopathic effect of rhubarb extracts on the growth of Microcystis aeruginosa, 2020
General overview of phytochemistry and pharmacological potential of Rheum palmatum (Chinese rhubarb), 2020
Acute haemodyalysis-requiring kidney failure due to massive intake of rhubarb stew, 2020
Allergen of the Month—Monk's Rhubarb, 2015
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