Three years ago, I noticed that Kianna had a rash around her mouth while eating an apple. I also noticed that it went away as soon as she was finished. At that time, her pediatrician said she could keep eating apples as long as the symptoms never progressed to anything respiratory. Since that time, I have also seen her develop a rash while eating pears and peaches. In January, Kianna broke into hives, got a puffy lip and began breathing heavily after eating a kiwi and/or mango. We have not allowed her to eat these fruits since that time.
At her most recent doctor's visit, her pediatrician felt that we should have an Epi-Pen. I went to purchase an Epi-Pen and found out they cost $470.00. Ouch! I decided that I didn't want to spend the money on something that she may or may not need, so we decided it was time to get her formally tested.
A couple weeks ago, she met with an allergy doctor and a scratch test was performed on her back. They had me purchase the fruits I was concerned about and basically stuck a tooth pick into each of the fruits and then scratched her back. They checked back in 10-15 minutes to see the results. They tested birch, peaches, pears, plums, mangoes, kiwi and apples. She reacted to all of them with the biggest reactions being to birch, kiwi, plums and peaches and milder reactions to pears, apples and mangoes. Based on the results the doctor ordered that blood tests be performed on these same fruits. The blood test revealed that she reacted the worst to kiwi, apples, peaches and plums in that order. The doctor does not want her to eat any of these fruits for the next year. At that time, he will redo the test and if her levels are lower then that indicates that she may outgrow her allergy. Unfortunately, very little research has been done on fruit allergies, so it is kind of a guessing game. Of the fruits she is allergic to kiwi is the one that can be life threatening, so is the most dangerous. The other fruits typically only 1% of the population have an anaphylactic response, most just continue to have oral symptoms. I will definitely be purchasing an Epi-Pen for peace of mind in regards to kiwi. It is good to have some answers.
Kianna was very brave with the scratch test and blood work. Until this point in time, she has been very afraid of needles. However, she was amazing and was pretty fearless with these tests. Now that the testing is done, she is very excited to be able to eat mangoes again. She has probably had them everyday since we got the results back. Of the four fruits, apples are the most difficult to avoid. Honestly, I'm a bit torn on whether to not let her have them since she has been eating them for 3 years without worsening symptoms. One thing is for sure, definitely no kiwi!!!