Characterizing the relationship between sesame, coconut, and nut allergy in children.

This study examined whether children allergic to peanuts and tree nuts are at increased risk of having an allergy to sesame or coconut. A retrospective chart review of children who underwent skin prick testing (SPT) to sesame and coconut was performed and 191 children identified who underwent SPT to sesame and 40 to coconut. Sensitization to sesame was more likely in children with positive SPT to peanuts (OR = 6.7) and tree nuts (OR = 10.5). Children with histories of both peanut and tree nut reaction were more likely to have a history of sesame reaction (OR = 10.2). Children with sensitization or allergy to peanuts or tree nuts were not more likely to be sensitized or allergic to coconut. In conclusion, children with peanut or tree nut sensitization were more likely to be sensitized to sesame but not coconut.

Stutius LM, Sheehan WJ, Rangsithienchai P, Bharmanee A, Scott JE, Young MC, Dioun AF, Schneider LC, Phipatanakul W.
Characterizing the relationship between sesame, coconut, and nut allergy in children.
Pediatr Allergy Immunol 2010 Dec;21(8):1114-1118