Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations

Kinga Bojahr; Anna Dylczyk-Sommer; Aleksandra Biedrzycka; Maciej Piskunowicz; Magdalena Lange; Andrzej Mital; Marek Niedoszytko

doi:10.5114/pja.2023.133214

eISSN: 2391-6052
ISSN: 2353-3854

Alergologia Polska - Polish Journal of Allergology

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4/2023
vol. 10

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abstract:

Review paper

Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations

Kinga Bojahr

¹

,

Anna Dylczyk-Sommer

²

,

Aleksandra Biedrzycka

³

,

Maciej Piskunowicz

⁴

,

Magdalena Lange

⁵

,

Andrzej Mital

⁶

,

Marek Niedoszytko

¹

Klinika Alergologii, Gdański Uniwersytet Medyczny, Gdańsk, Polska
Klinika Anestezjologii i Intensywnej Terapii, Gdański Uniwersytet Medyczny, Gdańsk, Polska
Zakład Kardioanestezjologii, Gdański Uniwersytet Medyczny, Gdańsk, Polska
Katedra Radiologii, Gdański Uniwersytet Medyczny, Gdańsk, Polska
Klinika Dermatologii, Wenerologii i Alergologii, Gdański Uniwersytet Medyczny, Gdańsk, Polska
Klinika Hematologii i Transplantologii, Gdański Uniwersytet Medyczny, Gdańsk, Polska

Alergologia Polska – Polish Journal of Allergology 2023; 10, 4: 301–309

DOI: https://doi.org/10.5114/pja.2023.133214

Online publish date: 2023/11/25

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AMA

Bojahr K, Dylczyk-Sommer A, Biedrzycka A, et al. Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations. Alergologia Polska - Polish Journal of Allergology. 2023;10(4):301-309. doi:10.5114/pja.2023.133214.

APA

Bojahr, K., Dylczyk-Sommer, A., Biedrzycka, A., Piskunowicz, M., Lange, M.,  & Mital, A. et al. (2023). Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations. Alergologia Polska - Polish Journal of Allergology, 10(4), 301-309. https://doi.org/10.5114/pja.2023.133214

Chicago

Bojahr, Kinga, Anna Dylczyk-Sommer, Aleksandra Biedrzycka, Maciej Piskunowicz, Magdalena Lange, Andrzej Mital,  and Marek Niedoszytko. 2023. "Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations". Alergologia Polska - Polish Journal of Allergology 10 (4): 301-309. doi:10.5114/pja.2023.133214.

Harvard

Bojahr, K., Dylczyk-Sommer, A., Biedrzycka, A., Piskunowicz, M., Lange, M., Mital, A.,  and Niedoszytko, M. (2023). Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations. Alergologia Polska - Polish Journal of Allergology, 10(4), pp.301-309. https://doi.org/10.5114/pja.2023.133214

MLA

Bojahr, Kinga et al. "Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations." Alergologia Polska - Polish Journal of Allergology, vol. 10, no. 4, 2023, pp. 301-309. doi:10.5114/pja.2023.133214.

Vancouver

Bojahr K, Dylczyk-Sommer A, Biedrzycka A, Piskunowicz M, Lange M, Mital A et al. Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations. Alergologia Polska - Polish Journal of Allergology. 2023;10(4):301-309. doi:10.5114/pja.2023.133214.

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Mastocytosis is a rare disease characterized by the abnormal accumulation of monoclonal mast cells in various organs. In the perioperative period, many triggers may lead to excessive mast cell degranulation and mediators release, which can result in a severe anaphylactoid or anaphylactic response with anaphylactic shock. Patients with mastocytosis are more likely to experience perioperative reactions associated with inflammatory mediator release. The aim of this article is to provide physicians treating patients with mastocytosis and mast cell activation syndrome with practical advice for the management of surgery, childbirth, and radiological examinations and a list of medications with a lower risk of side effects.

keywords:

Preparation of patients with mastocytosis and mast cell activation syndrome for surgery, childbirth, and radiological examinations

Kinga Bojahr 1 , Anna Dylczyk-Sommer 2 , Aleksandra Biedrzycka 3 , Maciej Piskunowicz 4 , Magdalena Lange 5 , Andrzej Mital 6 , Marek Niedoszytko 1

mastocytosis, mast cell activation syndrome, anaesthesia, perioperative care, anaphylaxis

Kinga Bojahr

¹

,

Anna Dylczyk-Sommer

²

,

Aleksandra Biedrzycka

³

,

Maciej Piskunowicz

⁴

,

Magdalena Lange

⁵

,

Andrzej Mital

⁶

,

Marek Niedoszytko

¹