Description

The clinical and laboratory findings of a mast cell disorder are influenced by the nature of the mast cell proliferation, its total volume, its distribution and the release of cytoplasmic products such as histamine..


 

Constitutional findings:

(1) fatigue

(2) weight loss

(3) fever

(4) sweating

(5) flushing

 

Cutaneous lesions:

(1) skin lesions (macules, papules, nodules, blisters, bullae)

(1a) skin lesions may be pigmented

(1b) Darier's sign (skin lesions urticate after being stroked)

(2) pruritis

(3) dermatographism

 

Gastrointestinal symptoms:

(1) nausea and vomiting

(2) abdominal pain

(3) diarrhea

(4) peptic ulcer

(5) hepatomegaly

(6) splenomegaly

 

Musculoskeletal symptoms:

(1) bone pain

(2) muscle pain

(3) pathologic fracture

(4) arthralgias

 

Cardiopulmonary symptoms:

(1) tachycardia

(2) abnormal blood pressure (hypotension or hypertension)

(3) dyspnea

(4) wheezing

 

Neurologic symptoms:

(1) syncope

(2) headache

 

Hematologic findings:

(1) variable anemia

(2) variable abnormality in the WBC count (leucopenia, leukocytosis)

(3) variable abnormality in the platelet count (thrombocytopenia, thrombocytosis)

(4) eosinophilia

(5) lymphadenopathy

 


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