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Quick Summary of diagnosis and treatment for Mast Cell Disorders -Have I got this right?

Messages
763
Location
Israel
I find it difficult to trawl through the forum to find a simple list of diagnosis and treatment list for Mast Cells disorders.
So I have made my own.
Please correct any mistakes I’ve done

Diagnosis: check list of symptoms:
CFS is a mast cell disorder.
http://forums.phoenixrising.me/index.php?threads/me-cfs-is-a-mast-cell-disorder-hypothesis.18437/

Skin biopsy Serum Tryptase blood test Bone Marrow biopsy for presence of mast cells and to test tryptase 24 Hour N-Methylhistamine Urine test
Allergy tests
Source: http://www.mastocytosis.ca/diagnosis.htm
There is also the thread
"Four M.E/CFS Tests almost no one has ever done."
http://forums.phoenixrising.me/index.php?threads/the-four-me-cfs-tests-almost-no-one-has-ever-done.19624/
Are these Four ME/CFS tests also related to Mast cell disorders????
Treatments
http://www.mastocytosis.ca/treatment.htm

Is the www.mastocytosis.ca link I've used accurate?
If anyone knows anything, please correct any mistakes so that I can figure out if this can help me or not. It will be great to have a simple summary for those of us who don't know if it relates to them.
 

camas

Senior Member
Messages
702
Location
Oregon
It is a bit confusing the way things are scattered about. For Mast Cell Activation Syndrome (MCAS) these are probably the two best sources:

Mast Cell Activation Disease: A Concise Practical Guide for Diagnostic Workup and Therapeutic Options (2011) by Gerhard J. Molderings, Stefan Brettner, Jürgen Homann, and Lawrence B. Afrin

MCAS Primer for Physicians (2012) by Lawrence B. Afrin, M.D., Division of Hematology/Oncology, Medical University of South Carolina

The links I have in my signature to the Canadian Mastocytosis Society cover both MCAS and Mastocytosis. If an overabundance of mast cells show up in a biopsy of say the colon, stomach, skin, bone marrow, etc. it's considered frank Mastocytosis.

Also helpful is this video from the U.S. Mastocytosis Society which covers both MCAS and Mastocytosis.


Please note that one study (see table 3) showed that only 17% of those with Mastocytosis experience recurrent anaphylaxis. So while this symptom is often emphasized, for obvious reasons, it's not a problem for the majority of patients.

The Mastocytosis Patient Experience is also worth reading to see the commonality between ME/CFS and MCAS/Mastocytosis.

From what I've read, the treatment for MCAS and Mastocytosis is the same.
 

nanonug

Senior Member
Messages
1,709
Location
Virginia, USA
I find it difficult to trawl through the forum to find a simple list of diagnosis and treatment list for Mast Cells disorders.

There are essentially three "basic" tests for mast cells disorders: serum tryptase, 24-hour urinary N-methylhistamine and 24-hour urinary Prostaglandin D2. There is more stuff that can be done, all the way to bone marrow biopsy if mastocytosis is suspected. However, these three tests are, in my opinion, a good start. If you want to "help" a doctor help you, you may take this with you: MCAS Primer for Physicians. It was put together by one of the leading researchers in the field (Dr. Afrin).

Good luck and let me know if you have any questions.
 
Messages
763
Location
Israel
Thanks Nanonog.
Just having it summed up in 3 "basic" tests really helps.

The videos are also helpful Camas.

I should rename this thread "beginners" except my first post is such a garbled peice of waffle, and I don't know how to rename titles.
Thanks for the explanations
 
Messages
25
I find it difficult to trawl through the forum to find a simple list of diagnosis and treatment list for Mast Cells disorders.
So I have made my own.
Please correct any mistakes I’ve done

Diagnosis: check list of symptoms:
CFS is a mast cell disorder.
http://forums.phoenixrising.me/index.php?threads/me-cfs-is-a-mast-cell-disorder-hypothesis.18437/

Skin biopsy Serum Tryptase blood test Bone Marrow biopsy for presence of mast cells and to test tryptase 24 Hour N-Methylhistamine Urine test
Allergy tests
Source: http://www.mastocytosis.ca/diagnosis.htm
There is also the thread
"Four M.E/CFS Tests almost no one has ever done."
http://forums.phoenixrising.me/index.php?threads/the-four-me-cfs-tests-almost-no-one-has-ever-done.19624/
Are these Four ME/CFS tests also related to Mast cell disorders????
Treatments
http://www.mastocytosis.ca/treatment.htm

Is the www.mastocytosis.ca link I've used accurate?
If anyone knows anything, please correct any mistakes so that I can figure out if this can help me or not. It will be great to have a simple summary for those of us who don't know if it relates to them.


let me know please if 'all' your test results come back please...keep in touch, also they do not know cause which could be possible ionization radiation...would be nice to atleast get a proper diagnosis...MR AIDAN G WALSH SOUTHAMPTON, U.K. 'FACEBOOK AIDAN WALSH 'GOLDEN ANGEL AS PROFILE PIC'
 
Messages
763
Location
Israel
I did not do the tests and have no test results.
I found it too hard to get my doctors to run the tests so I decided to try the treatments for mast cell disorder and see if they work.
I tried Ketotifin and Allegra because they were easy to get from docs as I suffer allergies a lot. They did not help me, made me more brain fogged.

I am also permanently on clonex. It's supposed to stabilize mast cells but didn't help me.
So I don't think I have Mast cell disorder.

Do you think ionizing radiation could cause mast cell disorder or bad test results?
 
Messages
45
Location
UK
Does anyone know where you can get the 24-hour urinary N-methylhistamine and 24-hour urinary Prostaglandin D2 privately in the UK?