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Published on: August 7, 2021
Mastocytosis in children and adults: clinical disease heterogeneity
Magdalena Lange1, Bogusław Nedoszytko, Aleksandra Górska
1Department of Dermatology, Venereology and Allergology, Medical University of Gdansk, Poland.
Insights
Mastocytosis is a rare clonal disorder involving abnormal mast cell accumulation. This overview aids in diagnosing and managing mast cell disorders across pediatric and adult populations.
Area of Science:
- Hematology
- Oncology
- Immunology
Background:
- Mastocytosis is a rare clonal disorder of hematopoietic stem cells.
- Characterized by pathological mast cell accumulation in various tissues.
- Manifests heterogeneously in children (often cutaneous, transient) and adults (often systemic).
Purpose of the Study:
- To provide a comprehensive overview of mastocytosis.
- To detail clinical symptoms, diagnostic criteria, and treatment options.
- To facilitate diagnosis and management in clinical practice.
Main Methods:
- Literature review of mastocytosis clinical presentation.
- Analysis of diagnostic criteria for mastocytosis.
- Summary of current treatment strategies for mastocytosis.
Main Results:
- Clinical presentation varies based on mast cell burden, mediator release, skin lesions, age, and associated hematological disorders.
- Diagnostic criteria encompass clinical and laboratory findings.
- Treatment approaches are tailored to disease subtype and severity.
Conclusions:
- Mastocytosis requires a multidisciplinary approach due to its heterogeneity.
- Effective management relies on accurate diagnosis and individualized treatment plans.
- This overview serves as a clinical guide for healthcare professionals.
Abstract:
Mastocytosis is a clonal disease of the hematopoietic stem cell. The condition consists of a heterogeneous group of disorders characterized by a pathological accumulation of mast cells in tissues including the skin, bone marrow, liver, spleen and the lymph nodes. Mastocytosis is a rare disease which occurs both in children and adults. Childhood onset mastocytosis is usually cutaneous and transient while in adults the condition commonly progresses to a systemic form. The heterogeneity of clinical presentation of mastocytosis is typically related to the tissue mast cell burden, symptoms due to the release of mast cell mediators, the type of skin lesions, the patient's age at the onset and associated haematological disorders. Therefore, a multidisciplinary approach is recommended. The present article provides an overview of clinical symptoms, diagnostic criteria and treatment of mastocytosis to facilitate the diagnosis and management of mastocytosis patients in clinical practice.
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