To the Editor.—
The report by Noid et al1 would imply that aspirin-sensitive patients react to all salicylates. It has been shown that intolerance to acetylsalicylic acid does not represent a broad intolerance to salicylates.2 Aspirin-sensitive patients show no untoward reaction to a wide variety of structurally similar salicylic compounds, such as sodium salicylate. They may, on the other hand, react to chemically unrelated compounds such as indomethacin and tartrazine. It is unfortunate that the authors did not separate the foods containing only acetylsalicylic acid (if any) from other salicylate-containing foods. The list of foods that have to be avoided might be much smaller, making the diet more reasonable.
Olivier NE. Diet Plan for Patients With Salicylate-Induced Urticaria. Arch Dermatol. 1974;110(6):957. doi:10.1001/archderm.1974.01630120089027