Almond allergy may lead to oral allergy syndrome, allergic rhinitis, asthma, and atopic dermatitis. Almond sensitized individuals should avoid direct or indirect consumption of almond. Cross-reactivity generally occurs with peach allergens, tree nut allergens as well as birch pollen allergens. Also, almond allergic patients are highly prone to cross-reactivity with mahleb. Almond sensitized people should avoid any intentional or un-intentional consumption of almond.