Presentation
Results of laboratory testing including mast cell mediator levels, and clinical symptoms on presentation and during follow-up were analyzed. [ncbi.nlm.nih.gov]
Entire Body System
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Intravenous Drugs
drugs due to diarrhea. [ijpd.in]
Musculoskeletal
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Macrocephaly
He was also diagnosed with macrocephaly (enlarged head), which has thankfully been ruled as benign, and he should grow into it as he grows. [globalgenes.org]
Skin
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Follicular Hyperkeratosis
Our case presented the triad clue for the diagnosis, characterized by follicular hyperkeratosis, prematurity and perinatal complications, but the clinical diagnosis was further complicated by hypereosinophilia and a strongly positive Darier's sign suggesting [ncbi.nlm.nih.gov]
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Pachyonychia
137 Necrobiosis lipoidica diabeticorum NLD 137 139 Aplasia cutis congenita 139 140 Alopecia areata 140 141 Tinea capitis and kerion 141 142 Traction alopecia and hair pulling 142 143 Ectodermal dysplasias 142 145 Telogen and anagen effluvium 144 146 Pachyonychia [books.google.com]
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Bullous Rash
[…] release the contents of their granules (histamine, tryptase, prostaglandins…) in response to different stimuli, triggering a systemic response: bronchoconstriction, increased permeability, intestinal hypermotility … The disease manifests with recurrent bullous [analesdepediatria.org]
Onset
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Neonate-Onset
His prognosis appears good, compared with other reports of similar neonatal onset. [ncbi.nlm.nih.gov]
Less than 30 cases of neonatal onset DCM have been described in the literature so far. The majority of patients present with generalized erythroderma with a reddish to brown-orange discoloration and extensive bullae. [mastowyattwarrior.org]
onset Q82.2 of newborn onset Q82.2 Urticaria L50.9 ICD-10-CM Diagnosis Code L50.9 Urticaria, unspecified 2016 2017 2018 2019 Billable/Specific Code pigmentosa D47.01 ICD-10-CM Diagnosis Code D47.01 Cutaneous mastocytosis 2018 - New Code 2019 Billable [icd10data.com]
Neurologic
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Radiculopathy
Several things such as migraines, acute appendicitis, radiculopathies of the cervical and lumbar spines, Shingles or a herpetic skin infection can cause this heightened sensation of the skin which can also be seen in a condition know as Complex Regional [healthtap.com]
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Screaming
‘Now, Geraint will scream for hours but I just have to sit with him and wait until he calms down - I can’t pick him up like other mothers would because it only makes him worse.’ [dailymail.co.uk]
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Hyperesthesia
Symptoms of these disorders vary by location and type, but are thought to be caused by the release of chemical mediators like histamine ...Read more 8 What causes cutaneous hyperesthesia? Allodynia newer name: Cutaneous hyperesthesia is a bit dated. [healthtap.com]
Workup
Infectious workup was negative and shave biopsy revealed a dense, diffuse dermal infiltrate of mast cells, consistent with diffuse cutaneous bullous mastocytosis-a rare variant of cutaneous mastocytosis. [ncbi.nlm.nih.gov]
Mast cell activation disease: a concise practical guide for diagnostic workup and therapeutic options. J Hematol Oncol, 4(10), 10.1186/1756-8722-4-10 [ii] Hartmann K, et al. (2016). [mastattack.org]
A bone scan, GI workup, and identification of the D816V c-kit mutation can also be helpful in cases where the diagnosis requires confirmation. [merckmanuals.com]
The pattern of aeroallergen and food sensitization and asthma in atopic patients with mastocytosis did not differ from that found in patients without mastocytosis but a comprehensive allergic workup (including skin prick testing, total and specific IgE [worldallergy.org]
X-Ray
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Bilateral Pulmonary Infiltrate
Figure 1: (a) Multiple tense bullae and erosions developed with peau dæorange-like skin on the face, scalp, and trunk, (b) Bilateral pulmonary infiltration in chest X-ray Click here to view Figure 2: (a) Sub-epidermal bullae with a dense cellular infiltration [e-ijd.org]
Treatment
Treatment was started with oral dimethindine maleate. At the age of 18 months, oral sodium cromoglicate (SCG) was introduced. At the age of 23 months, additional treatment was started with a cutaneous emulsion containing 4% SCG. [ncbi.nlm.nih.gov]
Pharmacological treatment: systemic and topical 4 agents to control pruritus and achieve a good quality of life. [analesdepediatria.org]
Prognosis
Although our results suggest generally favourable prognosis, the review of the literature indicate that SM may occur. Therefore, more guarded prognosis should be given in DCM patients. [ncbi.nlm.nih.gov]
Articles in this issue include Human Mast Cell Signal Transduction; Mast cell tryptase role in homeostasis and coagulation; Mastocytosis: Current Classification and Diagnostic criteria; Epidemiology, risk factors and prognosis of mastocytosis; Mast cell [books.google.com]
Although childhood mastocytosis has a good prognosis but sometimes it may be progressive and can be fatal. [ijpd.in]
Etiology
Etiology in many patients involves an activating mutation (D816V) in the gene coding for the stem cell factor receptor c-kit, which is present on mast cells. [merckmanuals.com]
Etiology The etiology of mastocytosis remains unknown. Children who develop this disease usually have a self-limited disorder, whih often resolves before adulthood. [sdominko.tripod.com]
Etiology Mastocytosis probably is a hyperplastic response to an abnormal stimulus. [emedicine.medscape.com]
Epidemiology
Articles in this issue include Human Mast Cell Signal Transduction; Mast cell tryptase role in homeostasis and coagulation; Mastocytosis: Current Classification and Diagnostic criteria; Epidemiology, risk factors and prognosis of mastocytosis; Mast cell [books.google.com]
Mastocytosis (cutaneous and systemic): Epidemiology, pathogenesis, and clinical manifestations. UpToDate. December 5, 2016; . Habashy J and Robles DT. Mastocytosis. Medscape Reference. May 15, 2017; . Fett NM, Teng J, and Longley BJ. [rarediseases.info.nih.gov]
A mutation of the oncogene C-KIT D816V is found in many (but not all) cases. [ 9 ] Epidemiology [ 10 ] This is a rare and heterogeneous group of disorders, of which urticaria pigmentosa is the most common manifestation. [patient.info]
Epidemiology cutaneous mastocytosis (CM): accounts for 80% of cases of mastocytosis. It most commonly seen in children, 80% of whom are less than 6 months old. [e-immunohistochemistry.info]
Epidemiology: Mastocytosis is seen in all ethnic backgrounds. Estimated incidence is approximately 1:20,000 (4). It occurs in males and females in approximately equal ratios. [worldallergy.org]
Pathophysiology
Pathophysiology Mastocytosis is now classified with the myeloproliferative neoplasms. [5] Increased local concentrations of soluble mast cell growth factor in lesions of cutaneous mastocytosis are believed to stimulate mast cell proliferation, melanocyte [emedicine.medscape.com]
In addition to the age of onset, adult and pediatric forms of mastocytosis differ in their clinical course and pathophysiology. [sdominko.tripod.com]
Pathophysiology Mast cells originate from bone marrow progenitor cells and are distributed throughout the connective tissues. They are concentrated in the skin around the peripheral nerves and adjacent to blood and lymphatic vessels. [aafp.org]
Prevention
A comprehensive diagnostic approach, advanced therapeutic strategies, regular follow-ups, and instruction of patients and relatives on prevention and prophylaxis are highly indicated. [ncbi.nlm.nih.gov]
Mast cell stabilizers help prevent mast cells from releasing their chemical contents. Cromoglicic acid is the only medicine specifically approved by the FDA for the treatment of mastocytosis. [en.wikipedia.org]
Typical treatments include taking antihistamines to prevent the effect of mast cell histamine. [dailymail.co.uk]
Your skin Holds body fluids in, preventing dehydration Keeps harmful microbes out, preventing infections Helps you feel things like heat, cold, and pain Keeps your body temperature even Makes vitamin D when the sun shines on it Anything that irritates [icdlist.com]
[…] comprising lymphocytes and plenty of mast cells Click here to view The child was treated with an oral anti-histaminics (both H1 and H2 blocker) and a short-course (6 weeks) of an oral steroid (prednisolone) along with topical antibiotics (mupirocin) to prevent [ijpd.in]