[Mast cell activation disease: a concise practical guide for diagnostic workup and therapeutic options]

Dtsch Med Wochenschr. 2014 Jul;139(30):1523-34; quiz 1535-8. doi: 10.1055/s-0034-1370055. Epub 2014 May 6.
[Article in German]

Abstract

In the present paper clinical phenotypes, pathogenetic relationships, and diagnostic algorithms as well as therapeutic concepts of/for systemic mast cell activation disease are reviewed. The reader should be able to recognize and diagnose a systemic mast cell activation disease, as well as to counsel a personalized drug therapy. In the case of chronic multisystem polymorbidity systemic mast cell activation disease should be considered as a differential diagnosis at an early stage. In most cases, specific, little invasive investigations allow diagnosing the disease and, hence, an appropriate therapy can be initiated.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Adult
  • Algorithms
  • Ascorbic Acid / administration & dosage
  • Bone Marrow / pathology
  • Child
  • Combined Modality Therapy
  • DNA Mutational Analysis
  • Diagnosis, Differential
  • Early Diagnosis
  • Female
  • Histamine H1 Antagonists / therapeutic use
  • Humans
  • Infant, Newborn
  • Ketotifen / administration & dosage
  • Mast Cells / pathology
  • Mastocytosis, Systemic / classification
  • Mastocytosis, Systemic / diagnosis*
  • Mastocytosis, Systemic / drug therapy*
  • Mastocytosis, Systemic / genetics
  • Pregnancy
  • Proto-Oncogene Proteins c-kit / genetics
  • RNA, Messenger / genetics
  • Ranitidine / administration & dosage

Substances

  • Histamine H1 Antagonists
  • RNA, Messenger
  • Ranitidine
  • Proto-Oncogene Proteins c-kit
  • Ascorbic Acid
  • Ketotifen