Manual of Clinical Nutrition

Nutritional Management of Food Hypersensitivities

Manual of Clinical Nutrition Management H- 19 Copyright © 2013 Compass Group, Inc.

Shellfish-Free Diet
Ingredients to Avoid:
 Abalone  Prawns
 Clams  Scallops
 Crab  Shrimp
 Crawfish
 Lobster
 Mollusks
 Oysters

 Foods that may indicate the presence of shellfish

protein: fish stock, flavoring (including natural or

artificial), seafood flavoring (such as crab or clam

exgtract), surimi

Tree Nut-Free Diet
Ingredients to Avoid:
 Almonds  Nutmeal
 Artificial nuts  Nut oil
 Brazil nuts  Nut paste (i.e, almond paste)
 Caponata  Nut pieces
 Cashews  Pecans
 Filbert/hazelnuts  Pesto
 Gianduja (nut mixture found in chocolate)
 Hickory nuts

 Pine nuts (also known as Indian, pinon, pinton,

pignoli, pignolia and pignon nuts

 Nougat  Pralines

 Natural nut extract (i.e, almond, walnut)  Walnuts

Bibliography

1. Escott-Stump S. Nutrition and Diagnosis-Related Care. 5th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2002:76.


2. Wilson SH. Medical nutrition therapy for food allergy and food intolerance. In: Mahan KL, Escott-Stump S, eds. Krause’s Food,
   Nutrition and Diet Therapy. 10th ed. Philadelphia, Pa: WB Saunders; 2000. p 916-924.


3. American Academy of Allergy, Asthma, and Immunology. Position statement on anaphylaxis in school and other childcare settings.
   J Allergy Clin Immunol. 1998;102:173.


4. Nutrition management of food hypersensitivities. In: Pediatric Manual of Clinical Dietetics. 2nd ed. Chicago, Ill: American Dietetic
   Association; 2003.


5. Watson WT. Food allergy in children. Clin Rev Allergy Immunol. 1995;13:347-359.


6. Bischoff SC, Mayer J, Wedemeyer J, Meier PN, Zeck-Kapp G, Wedi B, Kapp A, Cetin Y, Gebel M, Manns MP. Colonoscopic allergen
   provocation (COLAP): a new diagnostic approach for gastrointestinal food allergy. Gut. 1997;40:745-753.


7. Plant M. New directions in food allergy research. J Allergy Clin Immunol. 1997;100:7-10.