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Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis

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Systemic Mastocytosis Imitating Eosinophilic Enterocolitis.

Tamlynn Lynette Muller¹, Kevin Van Der Merwe¹, Chris Steele²

¹Department of Internal Medicine, Letterkenny University Hospital, Letterkenny Co. Donegal, Ireland.

Gastro Hep Advances

|August 12, 2024

Summary

Systemic mastocytosis (SM), a rare hematological neoplasm, can cause gastrointestinal dysfunction. Prompt diagnosis and treatment with antihistamines can resolve SM-related gastrointestinal symptoms.

Keywords:

Allergies, Colonoscopy, Diarrhoea, Mast Cells, Skin Manifestations

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Investigating Mast Cell Secretory Granules; from Biosynthesis to Exocytosis

Investigating Mast Cell Secretory Granules; from Biosynthesis to Exocytosis

Published on: January 26, 2015

Area of Science:

Gastroenterology
Hematology
Immunology

Background:

Eosinophilic gastrointestinal disorders (EGIDs) cause gastrointestinal dysfunction due to eosinophil accumulation.
EGIDs are often diagnoses of exclusion, requiring consideration of various differential diagnoses.
A history of anaphylaxis suggests systemic mastocytosis (SM) as a primary differential.

Observation:

Systemic mastocytosis is a hematological neoplasm involving clonal mast cell accumulation in systemic tissues.
Gastrointestinal manifestations are a key feature of systemic mastocytosis.
Diagnosis is confirmed by elevated serum tryptase and positive c-kit/CD117 staining.

Findings:

Gastrointestinal symptoms associated with systemic mastocytosis can be effectively managed.
Combined oral antihistamines provide rapid resolution of gastrointestinal manifestations in SM.
Identifying SM is crucial for appropriate patient management and symptom relief.

Implications:

Recognizing systemic mastocytosis is vital for patients presenting with eosinophilic gastrointestinal symptoms and a history of anaphylaxis.
Prompt diagnosis and treatment can significantly improve patient outcomes and quality of life.
This highlights the importance of considering hematological differentials in complex gastrointestinal disorders.