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This eruption occurs generally from 1 to 3 days after ingestion of raw cashew nuts contaminated with allergenic oil.79 Dermatitis resulting from sensitized children handling and playing with the nuts has been reported.80 Improperly shelled cashew nuts caused an outbreak of perioral and more generalized dermatitis in Pennsylvania.81 Patch test: There is no standardized patch test recommendation for cashew nut oil, although a 30% concentration has been occasionally used.82 The occurrence of cross-sensitivity between the urushiols of the poison ivy (Toxicodendron radicans Kuntze) and the cashew nut allergen has long been recognized.83,84 Toxicodendron vernicifluaStokes (Japanese lacquer tree) is an indigenous tree of Japan and China