What are brown dots in the pancake mix?

Three sisters with a history of atopic disease developed wheals, throat discomfort, and dyspnea about 30 minutes after eating okonomiyaki (Japanese savory pancake). The 11- and 13-year-old sisters were judged to have moderate to severe anaphylaxis and treated with intramuscular epinephrine. The symptoms in the 8-year-old sister were mild and disappeared after receiving an antihistamine.

source https://www.jpeds.com/article/S0022-3476(22)01130-1/fulltext?rss=yes

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