Case Overview
A 32-year-old patient came to Enticare with recurring symptoms after eating fresh peaches, including itching in the mouth, facial redness, and mild swelling. Symptoms appeared within minutes, raising concern for Oral Allergy Syndrome and possible food allergy.
Patient Background
• Symptoms for 6 months
• History of seasonal allergies
• No known food allergies
• Symptoms happened only with raw peaches
Evaluation & Testing
Enticare’s allergy team performed:
• Skin prick testing – positive for peach allergen proteins
• IgE blood test – elevated IgE for Pru p 1
• Oral food challenge (supervised) – confirmed mild OAS reaction
• Cross-reactivity screening – positive birch pollen sensitivity
Diagnosis
Peach allergy linked to birch pollen–related Oral Allergy Syndrome.
Treatment Plan
Enticare recommended:
• Avoiding raw peaches
• Switching to cooked or canned peach products
• Daily antihistamines during allergy season
• Emergency epinephrine auto-injector
• Immunotherapy (allergy shots) to reduce pollen-related reactions long-term
Outcome
Within 8 months, the patient reported:
• Zero reactions to cooked peaches
• Reduced seasonal symptoms
• No emergency reactions
• Improved overall quality of life thanks to immunotherapy