Can cause allergy like symptoms eg wheezing, itching, swelling, nasal congestion. Also headaches, abdo pain. Anaphylaxis reported.

Found in foods, medicines, beauty products.

High levels:

• Cherries and strawberries, tomato (raw)

• Ginger, mustard, curry powder (?) 

• Liquorice and mint

Pineapple juice high but fruit itself not listed!?

Medium:

• Black pepper
• Sweetcorn
• Fizzy drinks
• Ketchup, Worcestershire sauce
• Honey

Benzoates related.  A variety of other foods esp fruits but also avocado, vegetables, nuts, coffee, beer too.

Management

If suspected, exclude high salicylate foods only to begin with, and limit medium salicylate foods if possible.  4/52 minimum.  Includes topical including anything with “Natural plant extracts”. 

If improves, excluded medium too for further 2/52 to see if additional benefit. 

(draft BDA FAISG)