Systemic Mastocytosis Presenting as Intraoperative Anaphylaxis with Atypical Features: A Report of two Cases

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Fatal anaphylaxis in systemic mastocytosis.

A 42-year-old woman died after an episode of anaphylaxis associated with a raised serum histamine level. A diagnosis of systemic mastocytosis was established, with lymphadenopathy and hepatosplenomegaly, not associated with the usually pre-existing skin lesions of urticaria pigmentosa.

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Anaphylaxis as a Manifestation of Systemic Mastocytosis: A Case Report and Review of Literature

Introduction: Anaphylaxis is defined as “a serious, life-threatening generalized or systemic hypersensitivity reaction” and “a serious allergic reaction that is rapid in onset and might cause death”. The determination of different mast cells (MC) mediators, such as serum and/or plasma histamine and tryptase, is proposed for the diagnosis of anaphylaxis. There are differences in the clinical pre...

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OBJECTIVE Mastocytosis comprises a group of diseases characterized by accumulation of mast cells on the skin, with the possibility of affecting other systems. Symptoms can be exclusively cutaneous, associated with symptoms of the organs involved or even systemic, due to the release of chemical mediators. Three cases of systemic mastocytosis are described, each case presenting different manifest...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 2013

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x1304100120