AAAAI Mast Cell Disorders Committee Work Group Report : Mast cell activation syndrome (MCAS) diagnosis and management

Copyright © 2019 American Academy of Allergy, Asthma & Immunology. All rights reserved..

Our current recommendations for diagnosing and treating primary mast cell (MC) activation syndrome make use of the latest studies and consensus guidelines for clinically recognizing systemic anaphylaxis in real time, regardless of whether allergen-triggered or other pathways are involved; our current understanding of the biomarkers secreted by activated MCs that best discriminate this disorder from other conditions; and the therapeutic drugs that might selectively affect those mediators or MCs themselves. Finding familial or somatic mutations of genes that cause MCs to be hyperactivatable would extend our diagnostic tools and potentially indicate new therapeutic interventions, targeting either the mutated gene product or the associated molecular pathway. In conclusion, we trust that the clinical, laboratory, and therapeutic criteria for primary MC activation syndromes described herein will provide clinicians with practical criteria of sufficient sensitivity and specificity to diagnose most cases without overdiagnosing the disorder in patients who likely have other conditions.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:144

Enthalten in:

The Journal of allergy and clinical immunology - 144(2019), 4 vom: 15. Okt., Seite 883-896

Sprache:

Englisch

Beteiligte Personen:

Weiler, Catherine R [VerfasserIn]
Austen, K Frank [VerfasserIn]
Akin, Cem [VerfasserIn]
Barkoff, Marla S [VerfasserIn]
Bernstein, Jonathan A [VerfasserIn]
Bonadonna, Patrizia [VerfasserIn]
Butterfield, Joseph H [VerfasserIn]
Carter, Melody [VerfasserIn]
Fox, Charity C [VerfasserIn]
Maitland, Anne [VerfasserIn]
Pongdee, Thanai [VerfasserIn]
Mustafa, S Shahzad [VerfasserIn]
Ravi, Anupama [VerfasserIn]
Tobin, Mary C [VerfasserIn]
Vliagoftis, Harissios [VerfasserIn]
Schwartz, Lawrence B [VerfasserIn]

Links:

Volltext

Themen:

Anaphylaxis
C-kit
Hereditary α-tryptasemia
Histamine
Journal Article
Leukotriene C(4)
Mast cell activation syndrome
Mastocytosis
Practice Guideline
Prostaglandin D(2)
Research Support, Non-U.S. Gov't
Tryptase

Anmerkungen:

Date Completed 15.06.2020

Date Revised 15.06.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jaci.2019.08.023

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300855397