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To the Editor:—
Apropos of Dr. H. G. Templeton's paper in the October issue of the Archives of Dermatology and Syphilology concerning the etiology of aphthous stomatitis or common "canker sores," I have definitely determined that in my own case they follow the ingestion of English walnuts and apparently nothing else. During the past four years I have observed their occurrence carefully; they invariably occur within twenty-four to forty-eight hours after eating even a small quantity of walnuts, and usually last a week or more.I am so thoroughly aware of this sequence that I purposely avoid walnuts whenever possible. One of my recent attacks occurred forty-eight hours after eating some pistachio ice cream. On inquiry I found that synthetic pistachio flavoring had been used and that English walnuts had been substituted for pistachio nuts. I have encountered not a few patients who have volunteered the information that walnuts gave
Ayres S. FOOD SENSITIZATION AND APHTHOUS STOMATITIS. Arch Derm Syphilol. 1927;15(1):57. doi:10.1001/archderm.1927.02370250070008