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Monoclonal mast cell activation syndrome

MedGen UID:
1672509
Concept ID:
C4267893
Disease or Syndrome
Synonym: Monoclonal Mast Cell Activation Syndrome
SNOMED CT: Monoclonal MCAD (mast cell activation disorder) (1260202003); Monoclonal mast cell activation syndrome (1260202003)
 
Monarch Initiative: MONDO:0033954
Orphanet: ORPHA529468

Definition

A rare haematologic disease characterised by symptoms of mast cell activation in the absence of cutaneous findings, as well as absence of diagnostic criteria of systemic mastocytosis with tryptase levels of less than 20 mg/ml and normal to low burden of mast cells. Bone marrow biopsy reveals the presence of monoclonal mast cells carrying the KIT D816V mutation and/or expressing CD25. Symptoms include recurrent episodes of flushing, headache, hypotension, abdominal cramping, nausea, diarrhoea, cardiac arrhythmia, bronchoconstriction and bleeding diathesis. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMonoclonal mast cell activation syndrome

Professional guidelines

PubMed

Van den Poel B, Kochuyt AM, Del Biondo E, Dewaele B, Lierman E, Tousseyn T, de Hertogh G, Vandenberghe P, Boeckx N
Acta Clin Belg 2017 Apr;72(2):123-129. Epub 2017 Mar 6 doi: 10.1080/17843286.2017.1293312. PMID: 28262030

Recent clinical studies

Etiology

Jarkvist J, Brockow K, Gülen T
J Allergy Clin Immunol Pract 2020 Oct;8(9):3093-3101. Epub 2020 Jun 10 doi: 10.1016/j.jaip.2020.05.044. PMID: 32534147
Volertas S, Schuler CF 4th, Akin C
Immunol Allergy Clin North Am 2018 Aug;38(3):341-350. Epub 2018 Jun 9 doi: 10.1016/j.iac.2018.04.014. PMID: 30007455
Brockow K
Immunol Allergy Clin North Am 2014 May;34(2):283-95. doi: 10.1016/j.iac.2014.01.003. PMID: 24745674
Brockow K, Bonadonna P
Curr Opin Allergy Clin Immunol 2012 Aug;12(4):354-60. doi: 10.1097/ACI.0b013e328355b7cb. PMID: 22744266
Brockow K, Metcalfe DD
Chem Immunol Allergy 2010;95:110-124. Epub 2010 Jun 1 doi: 10.1159/000315946. PMID: 20519885Free PMC Article

Diagnosis

Beyens M, Elst J, van der Poorten ML, Van Gasse A, Toscano A, Verlinden A, Vermeulen K, Maes MB, Oude Elberink JNGH, Ebo D, Sabato V
Acta Clin Belg 2023 Aug;78(4):325-335. Epub 2022 Oct 19 doi: 10.1080/17843286.2022.2137631. PMID: 36259506
Coulson E, Zhou S, Akin C
Curr Allergy Asthma Rep 2019 Apr 26;19(6):31. doi: 10.1007/s11882-019-0863-5. PMID: 31028494
Bonadonna P, Scaffidi L
Immunol Allergy Clin North Am 2018 Aug;38(3):455-468. Epub 2018 Jun 9 doi: 10.1016/j.iac.2018.04.010. PMID: 30007463
Hsieh FH
Immunol Allergy Clin North Am 2018 Aug;38(3):429-441. doi: 10.1016/j.iac.2018.04.008. PMID: 30007461
Volertas S, Schuler CF 4th, Akin C
Immunol Allergy Clin North Am 2018 Aug;38(3):341-350. Epub 2018 Jun 9 doi: 10.1016/j.iac.2018.04.014. PMID: 30007455

Therapy

Jarkvist J, Salehi C, Akin C, Gülen T
Allergy 2020 Jan;75(1):169-177. Epub 2019 Aug 12 doi: 10.1111/all.13980. PMID: 31306487
Bonadonna P, Scaffidi L
Immunol Allergy Clin North Am 2018 Aug;38(3):455-468. Epub 2018 Jun 9 doi: 10.1016/j.iac.2018.04.010. PMID: 30007463
Carter MC, Desai A, Komarow HD, Bai Y, Clayton ST, Clark AS, Ruiz-Esteves KN, Long LM, Cantave D, Wilson TM, Scott LM, Simakova O, Jung MY, Hahn J, Maric I, Metcalfe DD
J Allergy Clin Immunol 2018 Jan;141(1):180-188.e3. Epub 2017 Jun 16 doi: 10.1016/j.jaci.2017.05.036. PMID: 28629749Free PMC Article
Gülen T, Hägglund H, Sander B, Dahlén B, Nilsson G
Clin Exp Allergy 2014 Sep;44(9):1179-87. doi: 10.1111/cea.12369. PMID: 25039926
Brockow K, Bonadonna P
Curr Opin Allergy Clin Immunol 2012 Aug;12(4):354-60. doi: 10.1097/ACI.0b013e328355b7cb. PMID: 22744266

Prognosis

Volertas S, Schuler CF 4th, Akin C
Immunol Allergy Clin North Am 2018 Aug;38(3):341-350. Epub 2018 Jun 9 doi: 10.1016/j.iac.2018.04.014. PMID: 30007455
Carter MC, Desai A, Komarow HD, Bai Y, Clayton ST, Clark AS, Ruiz-Esteves KN, Long LM, Cantave D, Wilson TM, Scott LM, Simakova O, Jung MY, Hahn J, Maric I, Metcalfe DD
J Allergy Clin Immunol 2018 Jan;141(1):180-188.e3. Epub 2017 Jun 16 doi: 10.1016/j.jaci.2017.05.036. PMID: 28629749Free PMC Article
Gülen T, Hägglund H, Sander B, Dahlén B, Nilsson G
Clin Exp Allergy 2014 Sep;44(9):1179-87. doi: 10.1111/cea.12369. PMID: 25039926
Brockow K
Immunol Allergy Clin North Am 2014 May;34(2):283-95. doi: 10.1016/j.iac.2014.01.003. PMID: 24745674

Clinical prediction guides

Carter MC, Desai A, Komarow HD, Bai Y, Clayton ST, Clark AS, Ruiz-Esteves KN, Long LM, Cantave D, Wilson TM, Scott LM, Simakova O, Jung MY, Hahn J, Maric I, Metcalfe DD
J Allergy Clin Immunol 2018 Jan;141(1):180-188.e3. Epub 2017 Jun 16 doi: 10.1016/j.jaci.2017.05.036. PMID: 28629749Free PMC Article
Bretterklieber A, Beham-Schmid C, Sturm GJ, Berghold A, Brezinschek R, Aberer W, Aberer E
Allergy 2015 Jul;70(7):864-72. Epub 2015 May 22 doi: 10.1111/all.12634. PMID: 25899109

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