Hidden Allergens: Pink Peppercorns, Tree Nut Allergies and how an Amazon Reviewer Helped Solve a Mystery
Pink peppercorns seemed like an innocuous ingredient until they almost killed my daughter. I’m so thankful for an Amazon reviewer for solving the mystery for us.
Originally published February 20, 2014
The information about this hidden allergen is extremely important to share among the nut allergic community and I continually thank the Amazon reviewer who solved a mystery for us.
This post about pink peppercorns could very well save many lives; maybe even the life of someone you know.
My daughter has a severe tree nut allergy,* meaning if she ingests any form of tree nuts, she will stop breathing (anaphylaxis) and die. Even a trace could do the deed–it’s that severe.
Discovering that my daughter was allergic to tree nuts (she was 4)
We learned this the hard way when she was four years old. Denisa ate a chocolate Christmas ornament which was filled with a hazelnut paste. I cannot adequately describe to you what it feels like, and the terror that fills every part of your being when you hear your child barely choke out the words, “I can’t breathe”, and to see her gasping for air.
I immediately called 911, and she was rushed to the hospital in an ambulance. This was my family’s very first experience with any sort of allergy, and it was life-changing for all of us. Nuts were now a dreaded, dangerous and life-threatening food.
The incident at the restaurant
Fast forward 10 years: on the 4th of July, my daughter was at a restaurant at Disneyland with one of her best friends when I received a phone call from her friend’s mother. She told me that she thought my daughter had ingested some form of tree nuts, and was wondering whether to use the EpiPen (a shot of epinephrine) for her anaphylactic reaction.
Of course, I was petrified, and told her that my daughter had to be the one to make that decision.
Luckily, she ended up getting the nuts out of her system and the use of the EpiPen was averted. I’ve since read several news reports that prove that this doesn’t always happen. Sometimes there’s a death, instead of a happy ending. My daughter was incredibly fortunate.
PRINT THIS FOR TRAVELING WITH NUT ALLERGIES!
A mystery
At this point, the biggest problem was that the chef was baffled as to how this occurred, as he was certain that the Tortellini Alfredo and focaccia were nut-free. It was the only incident in which we had no idea what had caused her reaction. I spoke to the chef the next day, but there was still no luck in deducing what had instigated her anaphylaxis, so we were left with a mystery.
Mystery solved!
About two weeks after this incident, I was browsing peppercorns and pepper blends on Amazon.com, when I clicked on a Four Seasons Pepper Blend, which included pink peppercorns, or pepper berries. The first review caught my eye:
I couldn’t believe what I was reading, and wondered if the chef might have used this pepper blend in the pasta or focaccia that my daughter had eaten. I quickly did some research, and confirmed what the reviewer had posted. Pink peppercorns were in fact related to cashews!
Immediately, I called the restaurant, and began to ask the chef if he used this pepper blend. I hadn’t even finished asking the question, when he exclaimed, “Yes! Yes! Yes!” What a relief to finally know what had caused her reaction.
It’s disconcerting to think that we actually had a pepperberry tree in the backyard of our previous house, and I used to cut the berries and use them for various crafts. This is what the berries look like.
From Wikipedia:
Peruvian pepper (Schinus molle, also known as American pepper, Peruvian peppertree, escobilla, false pepper, molle del Peru, pepper tree, peppercorn tree, Californian pepper tree, pirul and Peruvian mastic.) is an evergreen tree that grows to 15 meters (50 feet). It is native to rhe Peruvian Andes. The bright pink fruits of Schinus molle are often sold as “pink peppercorns” although S. molle is unrelated to true pepper.
This information needs to be spread as widely as possible:
Pink peppercorns, pink pepperberries, pink berries, Peruvian pepper and whatever else they may be called, are related to CASHEWS and can cause an anaphylactic reaction in those who are allergic to CASHEWS/TREE NUTS.
Here’s what you can do to help spread the word:
- Forward this information to anyone you know who has a nut allergy. I have contacted Penzey’s Spices (who have still done nothing to label the warning 5 years later!) and other spice retailers to ask them to place this warning on their labels. If you can do the same thing, changes will happen more quickly, and hopefully avert potentially life-threatening allergic reactions in future (see update below: great news!)
- If you or your child has a nut allergy, make sure to ask at restaurants, at friends’ homes, and wherever your food is prepared if a pepper blend including pink pepper berries has been used. Inform them that the berries are related to tree nuts.
- Contact newspapers, local TV news, etc. to feature articles or segments on this information.
- Spread the info via social media; ask others to share, re-tweet, re-pin, etc.
- Translate the info into other languages, and share outside our borders.
- Pass on the information by word of mouth; you never know whose life you might save.
PLEASE click here to CHECK OUT THIS POST AS I HAVE DISCOVERED MORE HIDDEN ALLERGENS!
My concerns and some points to remember ~
* Many people throw the word “allergy” around loosely. Please be aware of how important it is that this term is used correctly.
It terrifies me that the server who is used to hearing guests order something “on-the-side” due to an “allergy”, notices they ate it anyway. Consequently, they won’t take allergies seriously anymore. Food Babe, who has hundreds and thousands of followers and has written books on the subject of food choices, advises her readers, “Go as far as telling the server you allergic to butter and dairy, soy and corn.”
I, and many others have commented on her post to tell her how this is endangering those who have LIFE-THREATENING allergies which occur within seconds. However, she refuses to remove this wording in her post. In fact, she banned me from her Facebook page when I wrote to tell her the consequences from her advice.
Many people don’t realize that simply touching nuts, and then touching other food is enough to cause anaphylaxis in some allergy sufferers, my daughter included. However, there are others whose allergies are even worse than hers. Think about the nuts being consumed in planes; it’s frightening.
UPDATED 10/19: I flew Norwegian airlines for the first time in June and was horrified at the filthy condition of the floor, including peanuts! I gave them another try this past week and guess what? The same conditions! Do they never clean their planes? This is unacceptable, especially for nut allergy sufferers!
Similarly, there is no barometer to measure or communicate how serious an allergy is. It’s completely open to interpretation. These things directly impact my daughter’s life and so many others’, too.
Finally, please be mindful of the impact that use of the word “allergy” can have.
UPDATE: my daughter attended Villanova University which has a “no nut” policy, which we didn’t discover until after we placed our deposit! I was elated. If you are concerned about your child going off to university with a nut allergy, besides being a top university, Villanova takes allergies extremely seriously. She graduated without an incident at the dining halls and restaurants.
pink peppercorns
I appreciate the info as my daughter is allergic to cashews as well. I thought I would give you this website that is pretty good about distributing information about food allergies. I think your story would reach a lot of people this way. http://www.foodallergy.org
Thank you, Lori. Other commenters suggested the same thing, so I have sent my post to FARE. Thank you so much and good luck to your daughter, CC
THANK YOU! My oldest son has a tree nut allergy, though thankfully his reaction hasn’t progressed to life threatening. Yet. But you never know when it could happen! We’re crossing our fingers that he outgrows it too, but until that day, we’re going to continue to be extra cautious so that we don’t have to go through the life threatening situation! Thanks you, and so glad your daughter is okay.
You are so very welcome, Molly! I do hope your son outgrows his allergy. I was hoping the same for my daughter and her exercise induced asthma, but so far no luck. :( Good luck and I hope your son stays safe either way, CC
It might have also been nutmeg. I used to love tortellini but I had to stop eating it because almost all tortellini has nutmeg. If you read labels, they just say “spices”… But the peppercorn thing is interesting as I’ve had a few reactions recently that I have not been able to pinpoint…
No Sarah, it definitely wasn’t nutmeg. My daughter regularly has nutmeg (which isn’t a nut), however, that doesn’t mean that others cannot be allergic to nutmeg. Good luck and hopefully this solves your mystery reactions. Thank you for commenting! CC
This is good information.
However, this concerns me:
” my daughter was at a restaurant at Disneyland with one of her best friends when I received a phone call from her friend’s mother who told me that she thought my daughter had ingested some form of tree nuts, and was wondering whether to use the EpiPen (a shot of epinephrine) for her anaphylactic reaction. Of course, I was petrified, and told her that my daughter had to be the one to make that decision based on how serious the reaction felt, and luckily she ended up getting the nuts out of her system and the use of the EpiPen was averted. ”
Your daughter should have a clear if-then plan from her doctor that outlines what to do based on symptoms and ingestion. She’s very lucky that it self-resolved. Many reactions do, but there is no way to tell if one will or not until it does. If you’ve guessed right, you’re lucky. If you’ve guessed wrong, it’s a tragedy. It also is well-documented that reactions can alter the victim’s perception of things, which is why Epi administration shouldn’t be subjective, but rather following a clear plan. With that said, the prevailing thinking is “If your gut says Epi should be given,” then it should be. No, it’s no fun to spend Disney time in the ER, but it’s at best an inconvenience and a little lost fun. If she was wrong and waited too long (if the reaction cascade has gone too far, Epi won’t be enough), your next call could have been from the coroner.
Thank you, Meg. As others have posted, I have learned a lot from all of your comments. I will be taking my daughter to an allergist, which I now realize I should have done years ago, but I relied on her doctor’s information and didn’t think anything more about it. I would feel much more comfortable sending her off to college with an “if-then” plan, you are correct. However, I honestly don’t think there was any thought about whether the epipen would inconvenience their Disney time (my daughter is there all the time as her friend has lifetime passes, so it wasn’t like a once in a lifetime trip, as it might be for others). Thank you for your suggestions, and I will follow up on them. CC
MY 3 sons,myself, my cousin and niece are all allergic to cashews/tree nuts thank you very much for the info! u prob helped save some lives.
Thank you for letting me know, Sadia! So happy to hear that you all will be safer from getting this information! Please continue to pass it on! Good luck to all of you! CC
Christina,
RE: your concern that there isn’t a barometer to say how serious an allergy is When I had a tree nut allergy panel done about 8 yrs ago, the results were given to me with a number scale. 0-.75 were safe, 1-1.99 were “avoid if possible” anything higher then 2 was listed as “this can kill you.” i.e. on my test cashews were a 1.5 so i shouldn’t eat them. Peanuts ranked in at 2.5, walnuts at 4.5 and pistachios at a whopping 7! Needles to say I have to be very vigilant for the last three and have my epipen ready in case of an accident. If i get into hazelnuts (a 1) any antihistamine and I’ll be fine. You may want to see if your allergist can provide you a scale for your daughter.
Wow – this is all very enlightening. I am highly allergic to Cashews and Pistachios but can eat virtually every other nut without problem. I have never eaten Brazil nuts or Macadamia nuts for fear that it may cause a reaction. Now I know why it’s limited to Cashew and Pistachio – they are both Anacardiaceaes! I will most definitely stay away from these pink peppercorns as well. Thanks for the post!
I have alerted ClubHouse and Signal, two Canadian food brands that I noticed sell products with pink peppercorns, about the severity of this issue and how necessary it is to have these products labelled with an allergy warning. I also contacted the Canadian Food Inspection Agency. ….I’m hoping for some kind of positive response….
Once again, Christina, thank you for this information. As an allergy sufferer it scares me to think of all the people out there who don’t know about this.
Trying to spread the word….