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Subjects with sensitivities to certain pollen can experience oral or systemic allergic symptoms associated with ingestion of various fruits, vegetables and nuts. In this case report a birch-apple-carrot association in 23-year-old man suffering from pollinosis who experienced few episodes of oral allergy syndrome, generalized urticaria and bronchospasm immediately time after ingestion of fresh and cooked apple and carrot is presented. Skin Prick Tests (SPT) to standard inhalant and food allergens were positive for birch, lime, apple and carrot. SPT for apricot was also positive, despite the patient did not experienced any allergic symptom after consumption of fresh or cooked apricot. This case report represents the description of an IgE-mediated systemic allergic reaction to both apple and carrot in both fresh and cooked form which is not usual reaction in the patients with birch-food association.
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