Mast cell activation syndrome (MCAS): management

Evidence-based neurology checklist on mast cell activation syndrome (mcas): management: Biochemical investigations Elevated or increasing serum tryptase 24-hour urinary histamine metabolites 24-hour urinary prostaglandin D2 or its metabolites Associated non-specific blood tests Magnetic resonance…

Biochemical investigations

  • Elevated or increasing serum tryptase
  • 24-hour urinary histamine metabolites
  • 24-hour urinary prostaglandin D2 or its metabolites

Associated non-specific blood tests

Magnetic resonance imaging (MRI) brain: features

Treatment: acute

Treatment: chronic

References

  1. Weiler CR, Austen KF, Akin C, et al. AAAAI Mast Cell Disorders Committee Work Group Report: mast cell activation syndrome (MCAS) diagnosis and management. J Allergy Clin Immunol 2019; 144:883-896. 
  2. Frieri M. Mast cell activation syndrome. Clin Rev Allergy Immunol 2018; 54:353-365. 
  3. Boddaert N, Salvador A, Chandesris MO, et al. Neuroimaging evidence of brain abnormalities in mastocytosis. Transl Psychiatry 2017; 7:e1197.
  4. Haenisch B, Molderings GJ. White matter abnormalities are also repeatedly present in patients with systemic mast cell activation syndrome. Transl Psychiatry 2018; 8:95.
  5. Berry R, Hollingsworth P, Lucas M. Successful treatment of idiopathic mast cell activation syndrome with low-dose Omalizumab. Clin Transl Immunology 2019; 8:e01075.

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