Cashew Nut Allergy Blood Test

What is Cashew Nut Allergy?

Cashew nut allergy is an immune system reaction to proteins found in cashews that can cause symptoms ranging from mild itching to severe anaphylaxis. It is caused by the immune system mistakenly identifying cashew proteins as harmful invaders and producing IgG and IgE antibodies to fight them. The Cashew Nut (f202) IgG test is the most important blood test for diagnosis because it measures specific antibodies that confirm your immune system has mounted a response to cashew proteins.

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What causes cashew nut allergy?

Cashew nut allergy is caused by your immune system misidentifying specific proteins in cashews—primarily Ana o 1, Ana o 2, and Ana o 3—as dangerous threats to your body. When you eat cashews or come into contact with cashew proteins, your immune system produces antibodies called immunoglobulin E (IgE) and immunoglobulin G (IgG) to attack these proteins. This immune response triggers the release of histamine and other chemicals that cause allergic symptoms, which can range from mild skin reactions to life-threatening anaphylaxis. The allergy can develop at any age, and even tiny amounts of cashew protein can trigger a reaction in sensitive individuals.

What is the best test for cashew nut allergy?

The Cashew Nut (f202) IgG test is the most important blood test for cashew nut allergy because it measures specific IgG antibodies your immune system produces in response to cashew proteins. This test provides clear laboratory evidence that your body has developed an immune sensitivity to cashews, distinguishing a true allergy from simple food intolerance. The blood test detects antibodies to cashew-specific proteins like Ana o 1, Ana o 2, and Ana o 3, giving you definitive confirmation of the allergy. Unlike symptom observation alone, this test provides objective data that helps you and your healthcare provider create an appropriate management plan, including strict avoidance strategies and emergency medication prescriptions if needed for severe reactions.

When should I get tested for cashew nut allergy?

You should get tested if you experience symptoms like itching, tingling in your mouth, hives, skin rashes, or swelling of your lips, face, tongue, or throat after eating cashews or foods containing cashew ingredients. Testing is also important if you have digestive symptoms like nausea, stomach cramps, vomiting, or diarrhea following cashew consumption, or if you develop respiratory symptoms such as wheezing, nasal congestion, or difficulty breathing. If you have experienced anaphylaxis—a severe reaction with difficulty breathing, rapid pulse, dizziness, or loss of consciousness—after eating cashews, immediate testing is critical to confirm the allergy and obtain emergency medications like epinephrine auto-injectors.

What are the symptoms of cashew nut allergy?
Cashew nut allergy symptoms can range from mild to life-threatening and typically appear within minutes to two hours after exposure. Mild to moderate symptoms include itching or tingling in your mouth, hives, eczema or itchy skin rash, swelling of your lips, face, tongue, throat or other body parts, nasal congestion, runny nose, wheezing or trouble breathing, stomach cramps, diarrhea, nausea, and vomiting. Severe symptoms include anaphylaxis, a potentially fatal reaction that causes constriction of airways, severe drop in blood pressure, rapid pulse, dizziness, lightheadedness, and loss of consciousness. Some people may experience only skin reactions, while others have primarily digestive or respiratory symptoms, making blood testing essential for definitive diagnosis.
Who is at risk for cashew nut allergy?
You are at higher risk for cashew nut allergy if you have other food allergies, especially to tree nuts like pistachios, almonds, walnuts, or pecans, since cashew allergies often occur alongside other nut allergies. People with a family history of food allergies, asthma, eczema, or hay fever are more likely to develop cashew allergies. Children are particularly susceptible, though cashew allergy can develop at any age, and unlike some childhood allergies, cashew allergy rarely resolves with age. If you have had previous allergic reactions to legumes like peanuts or to other foods, your risk increases. People with existing atopic conditions like allergic rhinitis or atopic dermatitis also face elevated risk for developing food allergies including cashew nut allergy.
What happens if cashew nut allergy is left untreated?
If cashew nut allergy is left undiagnosed or unmanaged, you risk experiencing increasingly severe allergic reactions with each exposure, potentially leading to life-threatening anaphylaxis. Without proper diagnosis, you might continue eating cashews or cashew-containing products unknowingly, as cashew ingredients appear in many processed foods, Asian cuisine, desserts, and nut mixes. Repeated exposure can sensitize your immune system further, making reactions more severe over time. Anaphylaxis can cause your airways to close, blood pressure to drop dangerously low, and can result in unconsciousness or death if not treated immediately with epinephrine. Living with undiagnosed cashew allergy also means you lack access to emergency medications like epinephrine auto-injectors that can save your life during a severe reaction.
Can cashew nut allergy be diagnosed with a blood test?
Yes, cashew nut allergy can be effectively diagnosed with a blood test that measures specific antibodies your immune system produces in response to cashew proteins. The Cashew Nut (f202) IgG blood test detects immunoglobulin G antibodies that indicate your body has developed an immune response to cashew allergens. Blood testing offers several advantages over other diagnostic methods: it requires only a simple blood draw, poses no risk of triggering an allergic reaction during testing, and provides objective, quantifiable results that confirm the presence of cashew-specific antibodies. While skin prick tests are also used for allergy diagnosis, blood tests are safer for people who have had severe reactions, those with skin conditions like eczema, or those taking medications that might interfere with skin testing.
How is cashew nut allergy treated?
Cashew nut allergy is primarily treated through strict avoidance of cashews and all cashew-containing products, as there is currently no cure for food allergies. Your healthcare provider will likely prescribe an epinephrine auto-injector (EpiPen) that you must carry at all times in case of accidental exposure and severe reaction. For mild reactions, antihistamines can help relieve symptoms like itching and hives. Treatment also involves careful label reading, since cashews appear in many unexpected foods including Thai and Indian dishes, baked goods, granola, trail mix, pesto, and various sauces. You should inform restaurants about your allergy and avoid foods with precautionary labels like may contain tree nuts. Working with an allergist to develop an emergency action plan and educating family, friends, and coworkers about recognizing and responding to severe allergic reactions are essential parts of managing cashew nut allergy.
How can I prevent cashew nut allergy reactions?
Preventing cashew nut allergy reactions requires vigilant avoidance of cashews and cashew-containing products by carefully reading all food labels every time you purchase a product, even familiar ones, since manufacturers can change ingredients without notice. Avoid foods with precautionary allergen statements like manufactured in a facility that processes tree nuts or may contain cashews. When dining out, inform your server and request to speak with the chef about your allergy, avoiding cuisines that commonly use cashews like Thai, Indian, Chinese, and Vietnamese food. Always carry your epinephrine auto-injector and wear medical alert identification jewelry. Teach family members, friends, coworkers, and teachers how to recognize allergic reactions and administer emergency medication. Be cautious with non-food items like lotions, shampoos, and cosmetics that may contain cashew oil or extracts.
What can I do at home for cashew nut allergy?
At home, create a cashew-free environment by carefully checking all food products in your pantry and eliminating those containing cashews or manufactured in facilities that process tree nuts. Designate separate preparation areas, cutting boards, and utensils if anyone in your household consumes cashews to prevent cross-contamination. Keep your epinephrine auto-injector in an easily accessible location that everyone in your household knows about, and ensure it is not expired. Post emergency contact numbers and your allergy action plan in visible areas like the refrigerator. Educate all household members and frequent visitors about your allergy and how to recognize symptoms of a reaction. Consider cooking more meals at home where you have complete control over ingredients, and explore safe alternative nuts like sunflower seeds or pumpkin seeds that are not tree nuts. Keep antihistamines on hand for mild reactions, but always use epinephrine first for severe symptoms.
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Cashew Nut (f202) IgG
Google reviews 505 reviews
$120 $94
What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

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