Rare presentation of anaphylaxis

Pancake syndrome

Katsunori Masaki, Koichi Fukunaga, Yuji Kawakami, Rubaiyat Haque

Research output: Contribution to journalArticle

Abstract

A 43-year-old woman presented with oral discomfort, sneezing, urticaria, eyelid angioedema, abdominal pain, diarrhoea, dyspnoea and wheeze soon after eating a Japanese flour pancake (okonomiyaki, containing wheat, egg, yam, pork, prawn and squid). Subsequent analysis of the flour used in the pancake revealed the presence of Dermatophagoides farinae (4500 mites/g). The patient tested positive for specific IgE to D. farinae (15.2 kU/L) and D. pteronyssinus (14.0 kU/L) with negative responses to other ingredients in the pancake. Oral ingestion of dust mite in poorly stored foods can cause anaphylactic reactions in patients with allergy.

Original languageEnglish
Article numbere228854
JournalBMJ case reports
Volume12
Issue number3
DOIs
Publication statusPublished - 2019 Mar 1

Fingerprint

Dermatophagoides farinae
Mites
Flour
Anaphylaxis
Eating
Dioscorea
Sneezing
Angioedema
Decapodiformes
Urticaria
Eyelids
Dust
Dyspnea
Immunoglobulin E
Abdominal Pain
Triticum
Ovum
Diarrhea
Hypersensitivity
Food

Keywords

  • allergy, asthma
  • dermatology
  • emergency medicine
  • occupational and environmental medicine
  • primary care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rare presentation of anaphylaxis : Pancake syndrome. / Masaki, Katsunori; Fukunaga, Koichi; Kawakami, Yuji; Haque, Rubaiyat.

In: BMJ case reports, Vol. 12, No. 3, e228854, 01.03.2019.

Research output: Contribution to journalArticle

Masaki, Katsunori ; Fukunaga, Koichi ; Kawakami, Yuji ; Haque, Rubaiyat. / Rare presentation of anaphylaxis : Pancake syndrome. In: BMJ case reports. 2019 ; Vol. 12, No. 3.
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