Oral mite anaphylaxis
Oral mite anaphylaxis (OMA), also known as Pancake Syndrome, is a severe allergic reaction caused by the ingestion of mites. This condition is most commonly associated with the consumption of foods that have been contaminated with mites, particularly flour and grain products.
Etiology
The primary cause of oral mite anaphylaxis is the ingestion of mites, particularly those of the Dermatophagoides genus. These mites are microscopic arachnids that are commonly found in household dust and food products. When ingested, these mites can trigger a severe allergic reaction in susceptible individuals.
Symptoms
The symptoms of oral mite anaphylaxis can vary widely, but typically include urticaria (hives), angioedema (swelling), dyspnea (difficulty breathing), and anaphylactic shock. In severe cases, this condition can be life-threatening.
Diagnosis
Diagnosis of oral mite anaphylaxis is typically based on the patient's history and symptoms, as well as the results of allergy testing. In some cases, the presence of mites may be confirmed through microscopic examination of the suspected food product.
Treatment
Treatment for oral mite anaphylaxis typically involves the administration of epinephrine to reverse the symptoms of anaphylaxis. In addition, patients may be prescribed antihistamines and corticosteroids to help manage their symptoms. Avoidance of mite-contaminated foods is also an important part of management.
Prevention
Prevention of oral mite anaphylaxis primarily involves avoiding the consumption of mite-contaminated foods. This can be achieved through proper food storage and preparation techniques, as well as regular cleaning and dusting of the home environment.
See also
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Contributors: Prab R. Tumpati, MD