Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 May;2(5):91-6.
doi: 10.1186/1939-4551-2-5-91.

Pancake syndrome (oral mite anaphylaxis)

Mario Sánchez-Borges  1 , Raúl Suárez-Chacon, Arnaldo Capriles-Hulett, Fernan Caballero-Fonseca, Victor Iraola, Enrique Fernández-Caldas
Affiliations

Pancake syndrome (oral mite anaphylaxis)

Mario Sánchez-Borges et al. World Allergy Organ J. 2009 May.

Abstract

Oral mite anaphylaxis is a new syndrome characterized by severe allergic manifestations occurring in atopic patients shortly after the intake of foods made with mite-contaminated wheat flour. This clinical entity, observed more frequently in tropical/subtropical environments, is more often triggered by pancakes and for that reason it has been designated "pancake syndrome". Because cooked foods are able to induce the symptoms, it has been proposed that thermoresistant allergens are involved in its production. A novel variety of this syndrome occurs during physical exercise and therefore has been named dust mite ingestion-associated exercise-induced anaphylaxis. To prevent mite proliferation and the production of anaphylaxis, it has been recommended that wheat flour be stored at low temperatures in the refrigerator.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Interactions between mite allergy and leukotriene-mediated inflammation: (-) inhibition; (+) enhancement.
See this image and copyright information in PMC

References

    1. Sánchez-Borges M, Capriles-Hulett A, Malka S. Inhalant allergens clinically significant in Latin America. Allergy Clin Immunol Int: J World Allergy Org. 2004;2:28–32. doi: 10.1027/0838-1925.16.1.28. - DOI
    1. Erben AM, Rodriguez JL, McCullough J, Ownby D. Anaphylaxis after ingestion of beignets contaminated with Dermatophagoides farinae. J Allergy Clin Immunol. 1993;2:846–849. doi: 10.1016/0091-6749(93)90062-K. - DOI - PubMed
    1. Spiegel WA, Anolik R, Jakabovics E, Arlian LG. Anaphylaxis associated with dust mite ingestion. Ann Allergy. 1994;2(56)
    1. Herranz G, Herranz MP. Hypersensitivity reaction to the ingestion of mites (Tyroglyphus farinae): Pathological study of a fatal case. Rev Med Univ Navarra. 1963;2:137–147.
    1. Hinman EH, Kampmeier RH. Intestinal acariasis due to Tyroglyphus longior Gervais. Am Soc Trop Med. 1934. pp. 355–362.