«Pancake» syndrome or syndrome oral mite anaphylaxis in a child: a clinical case in pediatrics

Abstract

storage mites and house dust mites are significant sources of allergens that cause respiratory allergic diseases such as allergic rhinitis and bronchial asthma. Particular attention is drawn to оral mite anaphylaxis (OMA), also known as the pancake syndrome, which occurs after consuming food contaminated with mites. The clinical manifestations of this syndrome include shortness of breath, angioedema, and even anaphylactic shock, which may require hospitalization. The main causative agents are various mite species, particularly Tyroglyphus farinae (Acarus siro). Symptoms most commonly develop after consuming foods made from contaminated wheat flour, such as pancakes, biscuits, pizza, etc. The development of allergic reactions involves heat-resistant mite allergens, as well as additional cofactors, including physical exertion and the use of nonsteroidal anti-inflammatory drugs.