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1.
Immunol Allergy Clin North Am ; 43(3): 553-568, 2023 08.
Article in English | MEDLINE | ID: mdl-37394259

ABSTRACT

Scombroid poisoning, systemic mastocytosis, and hereditary alpha tryptasemia all present with episodes that resemble allergic reactions. Knowledge regarding systemic mastocytosis and hereditary alpha tryptasemia is quickly evolving. Epidemiology, pathophysiology, and strategies to identify and diagnose are discussed. Evidence-based management in the emergency setting and beyond is also explored and summarized. Key differences are described between these events and allergic reactions.


Subject(s)
Anaphylaxis , Angioedema , Mast Cell Activation Disorders , Mastocytosis, Systemic , Mastocytosis , Humans , Mastocytosis/diagnosis , Mastocytosis/genetics , Mast Cells/physiology , Mastocytosis, Systemic/diagnosis , Mastocytosis, Systemic/genetics , Angioedema/diagnosis , Angioedema/epidemiology , Angioedema/etiology , Tryptases/genetics , Anaphylaxis/diagnosis
2.
Emerg Med Clin North Am ; 40(1): 119-133, 2022 Feb.
Article in English | MEDLINE | ID: mdl-34782083

ABSTRACT

Scombroid poisoning, systemic mastocytosis, and hereditary alpha tryptasemia all present with episodes that resemble allergic reactions. Knowledge regarding systemic mastocytosis and hereditary alpha tryptasemia is quickly evolving. Epidemiology, pathophysiology, and strategies to identify and diagnose are discussed. Evidence-based management in the emergency setting and beyond is also explored and summarized. Key differences are described between these events and allergic reactions.


Subject(s)
Angioedema/diagnosis , Hypersensitivity/diagnosis , Marine Toxins/biosynthesis , Angioedema/physiopathology , Biological Mimicry , Humans , Hypersensitivity/physiopathology , Marine Toxins/metabolism , Tryptases/analysis , Tryptases/deficiency
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