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Pharmacology Facts| Volume 38, ISSUE 2, P357-360, April 2023

Perioperative Considerations in Patients With Mast Cell Activation Syndrome

Published:February 23, 2023DOI:https://doi.org/10.1016/j.jopan.2023.01.008
      Mast Cell Activation Syndrome (MCAS) is a hypersensitivity disorder, and subset of Mast Cell Disease, which has become increasingly recognized over the past three decades. Since the first case reports were published in the late 1980s,
      • Akin C
      • Valent P
      • Metcalfe DD.
      Mast cell activation syndrome: proposed diagnostic criteria.
      • Roberts LJ.
      Carcinoid syndrome and disorders of systemic mast-cell activation including systemic mastocytosis.
      significant advancements have been made to better understand MCAS characteristics and determine effective treatment strategies. With improvements in recognition and modification of diagnostic criteria, it is estimated that up to 17% of the population has MCAS,
      • Buttgereit T
      • Gu S
      • Carneiro-Leão L
      • et al.
      Idiopathic mast cell activation syndrome is more often suspected than diagnosed – a prospective real-life study.
      • Afrin LB
      • Ackerley MB
      • Bluestein LS
      • et al.
      Diagnosis of mast cell activation syndrome: a global “consensus-2”.
      highlighting the importance of clinician education regarding this recently identified disorder. To better understand the pathophysiology of MCAS—and the pharmacologic interventions effective in its management—it is important to first begin by discussing the normal activity of mast cells.
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