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[Mastocytosis as the cause of childrens' abdominal discomforts]
Marja-Leena Lähdeaho1, Marja-Leena Tuomi, Martine Vornanen
1Tampereen yliopisto, lääketieteen laitos ja TAYS:n lastenklinikka, PL 2000, 33521 Tampere.
Insights
Mastocytosis, a condition with increased mast cells, can cause severe gastrointestinal issues in children. Prompt treatment with histamine receptor blockers effectively healed ulcers and normalized growth.
Area of Science:
- Pediatric Hematology
- Gastroenterology
- Dermatology
Context:
- Mastocytosis involves an abnormal increase in mast cells.
- Urticaria pigmentosa is the most common presentation.
- Gastrointestinal manifestations can be severe in pediatric cases.
Purpose:
- To report on four pediatric cases of mastocytosis with significant gastrointestinal symptoms.
- To highlight the efficacy of histamine receptor blockers in managing these symptoms.
Summary:
- Two of the four children experienced upper gastrointestinal ulcerations.
- Other common symptoms included vomiting, heartburn, abdominal pain, and crying spells.
- Symptoms are attributed to mediators like histamine released from mast cells.
Impact:
- Histamine receptor blockers are crucial for treating mastocytosis-related symptoms.
- Adequate medication led to ulcer healing, symptom relief, and normalized growth in the reported cases.
Abstract:
In mastocytosis the number of mast cells is increased, and the most common manifestation is urticaria pigmentosa. We describe four children, of which two developed ulceration of the upper gastrointestinal tract. Main symptoms in the other children were vomiting, heartburn and abdominal pains, which were manifested as intense crying spells. The symptoms are caused by mediators such as histamine being released from the mast cells, and blockers of the histamine receptor thus play a central role in their treatment. The childrens' condition was significantly alleviated by adequate medication: the ulceration healed, symptoms were relieved and growth was normalized.
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