Tomato Allergy (2024)

What Is Tomato Allergy?

Tomato allergy is a type of food allergy that occurs when the immune system overreacts to the proteins present in tomatoes. Tomato allergy is often caused by profilin proteins. These proteins are present in all eukaryotic cells and are identified as allergens in pollen, latex, and plant foods.

In some cases, tomato allergy is associated with oral allergy syndrome also known as pollen food syndrome. Individuals allergic to grass pollen are more likely to be allergic to tomatoes. Allergens from tomatoes also show cross-reactivity to birch pollen, bell peppers, cherries, pineapples, bananas, nuts, rubber latex, apples, celery, yellow mustard, Japanese cedar pollen, peach, and members of the Rosaceae family. It’s important to know the signs and symptoms of tomato allergy to prevent a severe allergic reaction.

Tomato Allergy Symptoms

  • Itching
  • Hives
  • Swelling
  • Eczema
  • Redness of skin
  • Nausea
  • Vomiting
  • Diarrhea
  • Abdominal pain
  • Wheezing
  • Shortness of breath

In rare cases:

  • Severe swelling of the face, lips, or tongue
  • Difficulty breathing
  • Rapid heartbeat
  • Drop in blood pressure
  • Loss of consciousness

In severe cases, tomato allergy can cause anaphylaxis, a life-threatening allergic reaction that requires immediate medical attention. So, if you suspect that you have a tomato allergy or have experienced any of these symptoms after eating tomatoes, you should consult an allergy specialist for proper diagnosis and treatment.

Tomato Allergy Diagnosis

There are many ways to diagnose a tomato allergy. Some common ways to diagnose tomato allergy are skin prick testing and blood testing. During a skin prick test, a small amount of tomato extract is placed on the skin, and a tiny prick on the skin is done to allow the extract to enter the skin. If you are allergic to tomatoes, the area around the prick will become raised, red, and itchy.

A blood test measures the level of specific IgE antibodies in your blood, which are produced by your immune system in response to allergens. Elevated levels of IgE antibodies in tomatoes may indicate an allergy.

You must get a proper diagnosis if you suspect that you have a tomato allergy to avoid severe allergic reactions. Once diagnosed, our NYC allergists will work with you to develop an allergy action plan, which may include avoiding tomatoes and carrying an epinephrine auto-injector in case of an emergency.

Tomato Allergy Treatment

The best treatment for tomato allergy is avoidance. Thankfully, most cases of tomato allergies are mild and can be treated with antihistamines, so it’s helpful to keep them with you. Over-the-counter medications may be strong enough, but you can also get prescribed medications to treat your symptoms. Prescribed medications may be necessary for asthma and some cases of skin reactions. If you suffer from allergic asthma, your allergist will recommend an inhaled corticosteroid.

For more serious allergic reactions to pineapple, ask your allergist about an epinephrine auto-injector. You should carry your epinephrine to treat symptoms related to anaphylaxis. Train your friends and family on how to administer the medication in case you can’t do it yourself. Be sure to book an appointment with NY Allergy & Sinus Centers for a personalized treatment plan for tomato allergy.

Tomato Allergy Frequently Asked Questions

What Causes Tomato Allergy?

Tomato allergy is caused by the immune system’s overreaction to the profilin proteins in tomatoes.

Can Tomato Allergy Be Hereditary?

Yes, tomato allergy can be hereditary, but not always. If you have a family history of food allergies, you may be at a higher risk of developing a tomato allergy and other food allergies.

Are There Other Foods That People With Tomato Allergy Should Avoid?

People with tomato allergy may also be allergic to other foods in the same family, such as potatoes, eggplant, and bell peppers. You may need to avoid these foods if you have a tomato allergy.

Can Tomato Allergy Be Cured?

Currently, there is no cure for food allergies, including tomato allergy. However, some people may outgrow their allergies over time.

Can I Eat Cooked Tomatoes If I Have A Tomato Allergy?

Some people with tomato allergy can eat cooked tomatoes because the heat can change the structure of the proteins, making them less allergenic. However, it is best to talk to your allergist before trying cooked tomatoes if you have a tomato allergy.

Can Tomato Allergy Cause Anaphylaxis?

Yes, in rare cases, tomato allergy can cause anaphylaxis. If you experience these symptoms after eating tomatoes, seek emergency medical attention immediately.

Tomato Allergy (2024)

FAQs

Tomato Allergy? ›

IgG Tomato Intolerance

This can occur anywhere from 3-72 hours after consuming tomatoes, making it difficult sometimes to pinpoint the exact ingredient that is affecting your digestive system. It is important to note that a tomato intolerance is not life-threatening, although it can cause you a lot of discomfort.

What are the symptoms of a tomato allergy? ›

Symptoms of a tomato allergy
  • skin rash, eczema, or hives (urticaria)
  • abdominal cramps, nausea, vomiting, or diarrhea.
  • an itching sensation in the throat.
  • coughing, sneezing, wheezing, or runny nose.
  • swelling of the face, mouth, tongue, or throat (angioedema)
  • anaphylaxis (very rarely)

Can you develop an intolerance to tomatoes? ›

IgG Tomato Intolerance

This can occur anywhere from 3-72 hours after consuming tomatoes, making it difficult sometimes to pinpoint the exact ingredient that is affecting your digestive system. It is important to note that a tomato intolerance is not life-threatening, although it can cause you a lot of discomfort.

Can you be allergic to raw tomato but not cooked? ›

Some people with tomato allergy can eat cooked tomatoes because the heat can change the structure of the proteins, making them less allergenic. However, it is best to talk to your allergist before trying cooked tomatoes if you have a tomato allergy. Can Tomato Allergy Cause Anaphylaxis?

What is a nightshade allergy? ›

A nightshade allergy is an immune response to the compound in nightshade plants called alkaloids. Types of nightshade plants include potatoes, tomatoes, peppers, red pepper flakes, eggplant, and paprika. Symptoms of a nightshade allergy include congestion, skin rash, itching, redness, and digestive problems.

Can tomatoes cause inflammation? ›

Some people feel that eating foods from the nightshade family, also known as solanaceous vegetables, may make their arthritis worse. But research has shown that there is no link between inflammation and solanaceous vegetables. Examples of nightshade vegetables include: Tomatoes.

What are the symptoms of eating bad tomatoes? ›

The symptoms, which include nausea, fever, abdominal pain, diarrhoea and sometimes vomiting, are more severe in infants and the elderly. Salmonella present in raw food can be destroyed by cooking thoroughly, but care should be taken to prevent re-contamination with Salmonella.

Can you eat pizza if allergic to tomatoes? ›

Fresh and Processed Foods

However, many processed foods also contain tomato derivatives, which can trigger an allergic reaction. These include, but are not limited to: Ketchup and barbecue sauce. Pizza and pasta sauces.

What happens if you keep eating food you're allergic to? ›

They can manifest as a spectrum of symptoms, ranging from itching, redness and swelling for milder reactions, to vomiting, diarrhea, difficulty breathing and other potentially life-threatening symptoms for severe reactions.

What is the LTP syndrome? ›

LTP allergy / syndrome is a complex food allergy caused by reactions to plant foods. It is not well-known. It was historically thought to be confined to Southern Europe or Mediterranean Europe, particularly Spain, Greece and Italy. But, it is increasingly recognised as a cause of food allergy beyond Europe.

Are blueberries a nightshade? ›

There also fruit like blueberries, which are not nightshade plants but do contain solanine. Despite this, many such fruit and vegetables are safe to eat. Nightshade fruits and vegetables are a broad group of plants from the Solanaceae family. Nightshade plants contain poisonous alkaloids, one called solanine.

Why am I allergic to nightshades but not potatoes? ›

Interestingly, some individuals may experience an allergic reaction to one nightshade plant but not to others. This is due to the different types of proteins found in each plant. For instance, an individual might be allergic to tomatoes but not to potatoes.

Is coffee a nightshade? ›

The coffee bean comes from the Coffea plant (source). This plant is not a member of the Solanaceae family, so it is not a nightshade.

Do tomatoes cause irritation? ›

Tomatoes can cause a variety of topical or skin reactions. This includes uncomfortable irritation of the skin due to acids in tomatoes. Skin contact with tomatoes can cause itching. In some cases, it can cause hives at the contact site.

Can tomatoes cause a rash around the mouth? ›

Foods that touch the skin can cause a harmless local rash. It happens most with fresh fruits or tomatoes. Sometimes, the rash looks like hives.

What is histamine overload? ›

Histamine intolerance is a condition where histamine builds up in your body. Histamine is a chemical your body naturally makes and that's present in some foods. If your body can't break it down like it's supposed to, it can build up and give you an upset stomach, headache or allergy symptoms.

What are the symptoms of eating bad tomato sauce? ›

The most common symptoms of gastroenteritis from food poisoning include nausea, vomiting, abdominal pain, fever, fatigue, loss of appetite, stomach cramps and watery diarrhea after eating spaghetti sauce. Call your doctor if you notice blood in your vomit or stool, as this may be a sign of a more serious condition.

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