title: Pancake syndrome (oral mite anaphylaxis).
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.
authors.affiliation: From the 1Centro Médico-Docente La Trinidad, Caracas, Venezuela; 2Clínica El Avila, Caracas, Venezuela; 3Policlínica Metropolitana, Caracas, Venezuela; 4Hospital San Juan de Dios, Caracas, Venezuela; 5Centro Médico de Caracas, Caracas, Venezuela; 6Laboratorios Leti, Madrid, Spain; and 7Allergy Innovations GMBH, Starnberg, Germany.
authors.forename: Mario
authors.initials: M
authors.lastname: Sánchez-Borges
authors.forename: Raúl
authors.initials: R
authors.lastname: Suárez-Chacon
authors.forename: Arnaldo
authors.initials: A
authors.lastname: Capriles-Hulett
authors.forename: Fernan
authors.initials: F
authors.lastname: Caballero-Fonseca
authors.forename: Victor
authors.initials: V
authors.lastname: Iraola
authors.forename: Enrique
authors.initials: E
authors.lastname: Fernández-Caldas