title: A case study of apple seed and grape allergy with sensitisation to nonspecific lipid transfer protein.
abstract: Lipid transfer proteins can be an important cause of allergy given their stability and high degree of protein sequence homology. We describe the case of a child who developed two separate episodes of anaphylaxis after consuming apple seed and grape, with evidence that nonspecific lipid transfer proteins may have been responsible for these reactions. Lipid transfer protein allergy should be considered when anaphylaxis is inconsistent, such as in patients who can tolerate fruit pulp but react to fresh whole fruit juices.
authors.affiliation: Department of Immunology, Liverpool Hospital, Liverpool, NSW 2170, Australia.
authors.forename: Ari
authors.initials: A
authors.lastname: Murad
authors.affiliation: Department of Immunology, Campbelltown Hospital, Campbelltown, NSW 2560, Australia.
authors.forename: Constance H
authors.initials: CH
authors.lastname: Katelaris
authors.affiliation: Douglas Hanly Moir Pathology, Sydney, NSW 2113, Australia.
authors.forename: Karl
authors.initials: K
authors.lastname: Baumgart
keywords: Allergy; Anaphylaxis; Lipid transfer protein; Seeds