For Healthcare Professionals

Recognising systemic mastocytosis (SM) is an important first step to diagnosing SM.1,2

It can be difficult to recognise SM, but some of the most common symptoms that may prompt testing include:

50%

More than 1/2 of people with SM have red, flat areas of skin covered in small bumps3

Often appear on the thighs or the central part of the body3

33%

1/3 of people with SM experience anaphylaxis, a severe, potentially life-threatening allergic reaction2

Commonly triggered by insect stings but can also happen without a known reason4

Often occurs with low blood pressure, which can be life-threatening4

50%

Nearly 1/2 of people with SM pass loose, watery stools2

Occurs with other symptoms like nausea and stomach pain2

Speak to your doctor if you discover a combination of these symptoms and they will be able to advise you.

Here are a range of the potential symptoms affecting different organs in SM:2,4,5

This is not a complete list of all the possible symptoms.
Each person with SM is unique and has their own SM story.
How frequent and how severe any of these symptoms are may vary from person to person as well as the type of SM.

WHOLE BODY2,5

Tiredness
Weight loss
Anaphylaxis,
a severe, potentially life-threatening allergic reaction
Feeling unwell

Breathing2,5

Shortness of breath
Congested nose
Throat swelling
Wheezing

MUSCLES AND BONE5

Bone pain
Muscle ache and pain
Bone lesions (abnormal areas in the bones)

SKIN2,5

Itching
Flushing
Red, flat areas of skin covered with small bumps

HEART AND BLOOD VESSELS5

Anaphylaxis with low blood pressure and fainting
Dizziness
Rapid or irregular heartbeat

LIVER/SPLEEN4

Liver dysfunction
Overactive spleen

BRAIN FUNCTION5

Impaired memory/ thinking
Migraines
Sleep disturbance

STOMACH AND INTESTINES2,5

Nausea/vomiting
Loose, watery stools
Stomach pain
Heartburn or reflux

If you think you have symptoms of SM, consult your doctor for an adequate diagnosis and ask any questions you might have about your symptoms and SM.

It can be frustrating and distressing not knowing what is causing your signs and symptoms but speaking to your doctor and describing your symptoms is an important first step towards your diagnosis.

It is also important not to dismiss your symptoms or how you are feeling. Some people with SM can wait several years before speaking to their doctor, which only delays their diagnosis further.6

You know your body.
You know your symptoms.
You are the best person to speak to your doctor about them.

If your doctor suspects that you may have SM after looking at your symptoms and discussing your medical history, they may recommend the following tests:7–9

Serum tryptase test

This test looks for a substance called tryptase in your blood. Mast cells in your body store and release this substance.10 Your doctor or nurse will take a blood sample to measure the levels of tryptase. If the levels are high, it could mean you have a mast cell disorder.

Bone marrow examination

This procedure aims to check your bone marrow more thoroughly, where mast cells can gather.11 It involves a biopsy, where a small piece of your bone marrow is taken to look closely for increased numbers of, or unusual, mast cells.

High-sensitivity KIT D816V assay

This test checks for a specific change in the gene 'KIT' that can cause SM. Your doctor or nurse will do a bone marrow biopsy or take a blood sample to look for this change.

Although it may be worrying to hear that you have SM, receiving a diagnosis means that your condition can now be appropriately managed.2,8,12 Speak to your doctor about any specific questions or concerns that you might have.

References V

  1. Cohen SS, et al. Br J Haematol. 2014;166(4):521–528.
  2. Jennings SV, et al. Immunol Allergy Clin North Am. 2018;38(3):505–525.
  3. Hartmann K, et al. J Allergy Clin Immunol. 2016;137(1):35–45.
  4. Gülen T, et al. J Intern Med. 2016;279(3):211–228.
  5. Pardanani A. Am J Hematol. 2021;96(4):508–525.
  6. Levedahl KH, et al. Prim Health Care Res Dev. 2022;23:e54.
  7. Mayo Clinic. Systemic Mastocytosis Diagnosis & Treatment. Available at: https://www.mayoclinic.org/diseases-conditions/systemic-mastocytosis/diagnosis-treatment/drc-20450478. Accessed April 2024.
  8. Shomali W, Gotlib J. Hematology. 2018;2018(1):127–136.
  9. Valent P, et al. J Allergy Clin Immunol Pract. 2022;10(8):1999–2012.
  10. Valent P, et al. Expert Rev Hematol. 2014;7(5):683–690.
  11. Theoharides TC, et al. N Engl J Med. 2015;373(2):163–172.
  12. Jensen B, et al. J Clin Nurs. 2019;28(7–8):1114–1124.
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