“…In Japan, oral mite anaphylaxis caused by okonomiyaki/pancake mix contaminated with Tyrophagus putrescentiae has been reported [10]. To our knowledge, there have been only three similar reports [11][12][13]. One patient was a 74-year-old diabetic farmer and the mites came from his work shoes, and resulted in marked colonization by Tyrophagus putrescentiae [13].…”