title: Grapple allergy: the grape or the apple?
abstract: BACKGROUND
  Many foods can cause food allergies. Grapple(R) is just one of many new fruits recently introduced into grocery stores.
  
  
  OBJECTIVE
  To describe 2 unique patients with food allergies after consuming a unique food, a Grapple.
  
  
  METHODS
  Commercial skin prick testing, fresh fruit prick-prick and radioallergosorbent testing were used to characterize the food allergy reaction.
  
  
  RESULTS
  Clinical history and appropriate testing confirmed the Grapple food allergy.
  
  
  CONCLUSIONS
  To our knowledge, these are the first 2 case reports of food allergy to a new fruit called Grapple. These cases illustrate the importance of consumer labeling laws and careful identification of component ingredients by food-allergic individuals.
authors.affiliation: Department of Internal Medicine, 52nd Medical Group, Spangdahlem AB, Spangdahlem, Germany. hans.otto@spangdahlem.af.mil
authors.forename: Hans F
authors.initials: HF
authors.lastname: Otto
authors.forename: Michael S
authors.initials: MS
authors.lastname: Tankersley
mesh_terms: D000328:Adult; D005260:Female; D005512:Food Hypersensitivity / Q000209:etiology* / Q000276:immunology*; D006801:Humans; D027845:Malus / Q000009:adverse effects* / Q000276:immunology; D011852:Radioallergosorbent Test; D012882:Skin Tests; D027843:Vitis / Q000009:adverse effects* / Q000276:immunology