RT Generic T1 Clinical Approach to Mast Cell Activation Syndrome: A Practical Overview A1 Matito, A. A1 Escribese, M. M. A1 Longo, N. A1 Mayorga, C. A1 Luengo-Sanchez, O. A1 Perez-Gordo, M. A1 Matheu, V A1 Labrador-Horrillo, M. A1 Pascal, M. A1 Seoane-Reula, M. E. A1 Soc Espanola Alergologia & Inmunol, K1 Anaphylaxis K1   K1 Antimediator therapy K1   K1 Mast cell activation syndrome K1   K1 Mast cell mediator release-related symptoms K1   K1 Tryptase K1 Indolent systemic mastocytosis K1 European competence network K1 Serum tryptase K1 Peripheral-blood K1 Venom immunotherapy K1 Bone-marrow K1 Human skin K1 Kit d816v K1 Anaphylaxis K1 Disorders AB The diagnosis of mast cell activation syndrome (MCAS) is defined by 3 criteria: (1) typical clinical signs and symptoms of acute, recurrent (episodic), and systemic mast cell activation (MCA); (2) increase in tryptase level to >20% + 2 ng/mL within 1-4 hours after onset of the acute crisis; and (3) response of MCA symptoms to antimediator therapy. Classification of MCAS requires highly sensitive and specific methodological approaches for the assessment of clonal bone marrow mast cells at low frequencies. The Spanish Network on Mastocytosis score has been used successfully as a predictive model for selecting MCAS candidates for bone marrow studies based on a high probability of an underlying clonal mast cell disorder. In this article, we propose a diagnostic algorithm and focus on the practical evaluation and management of patients with suspected MCAS. PB Esmon publicidad s a, dept allergy & clin immunol, clin univ navarra SN 1018-9068 YR 2021 FD 2021-01-01 LK https://hdl.handle.net/10668/24473 UL https://hdl.handle.net/10668/24473 LA en DS RISalud RD Apr 10, 2025