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using molecular allergy diagnostics. Actually, the most frequent mistake, made also by some allergist, is to confuse mere sensitization with true allergy. The consequence is the prescription of restriction diets that are useless or even dangerous as defined above. Another regrettable approach is to a priori recommend strict avoidance of all LTP-containing foods in the belief of the risk of potential anaphylaxis. One further common (mal)practice is the prescription of self-administered epinephrine even in the presence of a mere sensitization as a consequence of defensive medicine. We are deeply convinced that allergy approach towards LTP-sensitized patients should be based on a rational and logical attitude based on immunological knowledge. In other words, LTP-sensitized subjects (such as without clinical reaction) could ingest all tolerated foods, at least until evident symptoms appears. A correct medical approach should aim at improving patient’s “engagement” on his real clinical condition to distinguish between tolerance and symptoms. Information and education should always be part of the medical visit. Another interesting issue is the protective role exerted by co-sensitization to some pan-allergenic molecules, i.e. PR-10 or To the Editor

LTP Allergy: a pragmatic and reasonable approach in clinical practice