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无皮肤损害的惰性系统性肥大细胞增多症作为复发性过敏反应:一项病例报告研究

Indolent systemic mastocytosis (ISM) without skin lesions as a recurrent anaphylaxis: a case report study.

作者信息

Ghelichi-Ghojogh Mousa, Ebrahimi Mohsen, Ghezeljeh Edris, Delavari Sahar, Aghapour Seyed Ali

机构信息

Neonatal and Children's Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran.

Institute for the Developing Mind, Children's Hospital Los Angeles, Keck School of Medicine at the University of Southern California, Los Angeles, California, USA.

出版信息

Ann Med Surg (Lond). 2024 Aug 14;86(10):6179-6181. doi: 10.1097/MS9.0000000000002472. eCollection 2024 Oct.

Abstract

INTRODUCTION AND IMPORTANCE

Mastocytosis encompasses a diverse range of disorders characterized by the clonal accumulation of mast cells in various tissues, including the skin, bone marrow, and gastrointestinal tract.

CASE PRESENTATION

This case report describes a 32-year-old male patient who presented with a history of recurrent anaphylactic attacks and elevated serum tryptase levels without apparent skin involvement. The diagnostic process and clinical implications of non-cutaneous mastocytosis are discussed in the context of existing WHO criteria.

CLINICAL DISCUSSION

Mastocytosis, although a rare disease, carries the potential for severe complications and can present with atypical symptoms, thereby complicating its diagnosis and management. Consequently, the development of a reliable diagnostic and therapeutic strategy is of paramount importance.

CONCLUSION

There is a pressing need to delve deeper into the investigation of the potential impacts and manifestations of mastocytosis to further our understanding and enhance patient care.

摘要

引言与重要性

肥大细胞增多症涵盖了一系列不同的疾病,其特征是肥大细胞在包括皮肤、骨髓和胃肠道在内的各种组织中克隆性积聚。

病例介绍

本病例报告描述了一名32岁男性患者,该患者有反复过敏反应发作史且血清类胰蛋白酶水平升高,但无明显皮肤受累。在世界卫生组织现有标准的背景下讨论了非皮肤肥大细胞增多症的诊断过程及临床意义。

临床讨论

肥大细胞增多症虽然是一种罕见疾病,但有发生严重并发症的可能,且可表现为非典型症状,从而使其诊断和管理变得复杂。因此,制定可靠的诊断和治疗策略至关重要。

结论

迫切需要更深入地研究肥大细胞增多症的潜在影响和表现,以增进我们的理解并改善患者护理。

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