These findings highlight the common occurrence of cross-reactivity/co-allergy to other plant foods in banana-allergic patients, with a significant proportion experiencing severe reactions. Notably, 26.5% of the reported reactions to other plant foods were classified as severe. Among the 133 participants, the most commonly associated plant foods with clinical reactions were kiwi (83.5%), avocado (71.1%), persimmon (58.8%), grapes (44.0%), and durian (43.6%). A structured questionnaire was used to assess clinical reactivity, and cross-reactivity diagnoses were based on reactions occurring within 2 years of banana allergy onset, within 3 h of intake, and confirmed by allergists. This cross-sectional study aimed to investigate the prevalence and clinical characteristics of cross-reactivity and co-allergy to other plant foods among adult patients with IgE-mediated banana allergy in Thailand. Narachai Julanon, Conceptualization, Methodology, Software, Validation, Formal analysis, Data curation, Writing – original draft, Writing – review & editing, Visualization, 1 Ben Thiravetyan, Methodology, Software, Formal analysis, Data curation, Writing – original draft, Writing – review & editing, Project administration, 2, † Chanita Unhapipatpong, Conceptualization, Methodology, Software, Formal analysis, Data curation, Writing – original draft, Writing – review & editing, Project administration, 3, † Nutchapon Xanthavanij, Methodology, Software, Validation, Formal analysis, Data curation, Writing – original draft, Writing – review & editing, Supervision, Project administration, 2 Thanachit Krikeerati, Conceptualization, Methodology, Investigation, Writing – review & editing, Visualization, Supervision, 4, 5 Torpong Thongngarm, Methodology, Validation, Investigation, Writing – review & editing, Supervision, 4, 5 Chamard Wongsa, Methodology, Investigation, Writing – review & editing, Supervision, 4, 5 Wisuwat Songnuan, Investigation, Writing – review & editing, Supervision, 6, 7, 8 Phornnop Naiyanetr, Resources, Writing – review & editing, Supervision, 2 and Mongkhon Sompornrattanaphan, Conceptualization, Methodology, Validation, Formal analysis, Investigation, Resources, Data curation, Writing – original draft, Writing – review & editing, Supervision, Project administration, Funding acquisition 4, 5, *
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