You are here

Article Text

Article menu
Download PDFPDF
Rare disease
CASE REPORT
Rare presentation of anaphylaxis: pancake syndrome
  1. Katsunori Masaki1,2,
  2. Koichi Fukunaga3,
  3. Yuji Kawakami4 and
  4. Rubaiyat Haque2
  1. 1 Department of Internal Medicine, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan
  2. 2 Department of Adult Allergy, Guy’s and St Thomas' NHS Foundation Trust, London, UK
  3. 3 Division of Pulmonary Medicine, Department of Medicine, Keio University, School of Medicine, Tokyo, Japan
  4. 4 Environmental Science Laboratory, FCG Research Institute, Koto-ku, Japan
  1. Correspondence to Dr Koichi Fukunaga, km-fuku{at}cpnet.med.keio.ac.jp

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.

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

https://doi.org/10.1136/bcr-2018-228854

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors KM, KF and RH wrote the draft. KM and KY collected the data and analysed the specimen. All authors read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Provided