A True Story of Pancake Syndrome

I Almost Died
at Breakfast.

This is my story about how breakfast just about killed me. I had no idea how much danger could lurk in a stack of waffles. I share this so that this mite not happen to you.

My story
Act I — The Ordinary Morning
A house out in the piney woods.

The Setup

A weekend out in the woods.

This was a special Saturday morning. I had escaped the city and was out in the piney woods of Southeast Texas.

Dark pantry with a single glowing box of pancake mix spotlit on the shelf

The Threat

There was a hidden danger lurking.

Something was waiting for me, hidden in the very breakfast I was about to enjoy. I had no warning or indication that my life was in danger.

Man smiling at a breakfast table with a stack of pancakes and coffee

Starting the Day Right

Coffee. Breakfast. A Perfect Start.

It was a great start to a Saturday morning. I had a fantastic, very civilized breakfast of eggs and sausage. I don't usually eat waffles, but this morning I planned to indulge.

Man in kitchen pouring pancake mix from an old box into a bowl at the waffle iron

The Mix

I grabbed an open box from the pantry.

Pancake mix. The easy stuff. Just add water. It was an open box, maybe a month or two old. It looked a little weird, kinda clumpy, with some weird brown bits in it. I figured it was dry mix so it was ok. Maybe those brown bits were part of this kind of mix.

Act II — The Attack
Man smiling at waffle iron in bright kitchen, unaware of danger

Utterly Clueless

On the Griddle

Breakfast was made, and I sat down to enjoy not just one, or two, but three of these AMAZING waffles.

Man at breakfast table rubbing his eye, looking uncomfortable

The Awful Waffle

About ten minutes after the last bite, it hit me like a freight train. I've had seasonal allergies my whole life and this felt like a really bad allergy attack -- coming out of nowhere.

Man hunched over bathroom sink washing his swelling face

Mite be Bad

It wouldn't wash away.

My eyes started swelling. I tried washing my face. That didn't help. I took a hot shower, but things kept getting worse. My tongue was swelling and it was getting harder to swallow.

Man in car passenger seat with severely swollen face, on a rural road

Racing

I realized I was in trouble.

I grabbed a bottle of benadryl and had a family member drive me to the hospital. The swelling wasn't slowing, so I popped even more benadryl. We were more than 15 minutes from the closest town. It didn't make sense to call 911. There is no full-time EMS where we were.

Man in car near ER with extremely swollen face

Close Call

Made it to care in time.

It took us over 20 minutes to get to the emergency room. By the time we arrived, I could barely open my eyes. My tongue had swollen so much I could barely talk.

Man in ER hospital bed with severely swollen face, IV in arm, blood pressure cuff on

Diagnosis: Anaphylaxis

Cause: Unknown

I spent the morning in the ER. Epinephrine. Antihistimines. Steroids. The doctor asked questions about my history, symptoms, and the moments leading to my attack, but there was no apparent cause. I had never had a reaction like this, and there was no new allergen exposure -- that I knew of.

Act III — The Explanation
Doctor and patient sitting together in a consultation room, talking through the diagnosis

Allergist Visit

Not-So Elementary

I went to an allergist for a follow-up appointment. This guy was AWESOME. He was like the Sherlock Holmes of doctors.

"Had the pancake mix been open for a while?" he asked.

Doctor explaining Oral Mite Anaphylaxis on a whiteboard while the patient listens in disbelief

The Hypothesis

Pancake Syndrome

"Yes. It had," I answered. The doctors walked me through his theory. This was rare, but for people who are allergic to dust mites -- like I am -- the scenario fit.

Man lying face down on an exam table while a nurse applies a skin prick allergy test to his marked-up back

The Test

What mite I be allergic to?

To test the theory, the doctor ran a skin prick test. A grid of tiny pokes down my back, each one a different allergen. Then we waited.

Large red welt circled in marker on a patient's back, with a smiling cartoon dust mite drawn beside it

Confirmation

One spot lit up like a stop sign. Dust mites. The theory held: those little guys in the pancake mix were the culprits.

Opened pancake mix box with flour spilling out onto the shelf

The Opened Box

This mite have been the source.

Dust mites are microscopic arachnids that live in household dust. They are everywhere. You mite have one on you right now.

Evidently pancake mix, even in an airconditioned environment, is a potential breeding ground for these little guys.

An open box of pancake mix or flour in a humid envrionment is an invitation for a mite fiesta.

Massive colony of cartoon flour mites celebrating in grain with string lights

The Party Starts

Like Ant Farm.. but smaller.. and in pancakes

The colony started months ago, the last time I made pancakes. There were only a few of them, but that is all that it takes.

Cartoon illustration of flour mites celebrating in grain

The Mite-y Fiesta

Party they Did

Months and months went on and they kept partying and the colony kept growing. They were eating all the mix. They were in the mix.

Cartoon flour mites celebrating with forks and spoons

They were the mix

The brown stuff: not cinammon -- MITES!!!.

I don't know how many of them were in the mix. But the brown stuff I saw. It wasn't cinnamon, or flavor.. IT WAS DUSTMITES!!!.

Oral Mite Anaphylaxis

It's Not Just Me.

This condition sounds impossible — but it's documented, it's real, and people are surviving it.

A Survivor's Account Another person's experience with oral mite anaphylaxis after using old pancake mix — a story that mirrors my own.
What Is Pancake Syndrome? A short explainer on oral mite anaphylaxis — the invisible danger hiding in pantries everywhere.