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Death from mast cell leukemia: a young patient with longstanding cutaneous mastocytosis evolving into fatal mast cell leukemia.
[cutaneous mastocytosis]
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Mastocytosis
is
a
broad
term
used
for
a
group
of
disorders
characterized
by
accumulation
of
mast
cells
in
the
skin
with
or
without
extracutaneous
involvement
.
The
clinical
spectrum
of
the
disease
varies
from
only
cutaneous
lesions
to
highly
aggressive
systemic
involvement
such
as
mast
cell
leukemia
.
Mastocytosis
can
present
from
birth
to
adulthood
.
In
children
,
mastocytosis
is
usually
benign
,
and
there
is
a
good
chance
of
spontaneous
regression
at
puberty
,
unlike
adult-onset
disease
,
which
is
generally
systemic
and
more
severe
.
Moreover
,
individuals
with
systemic
mastocytosis
may
be
at
risk
of
developing
hematologic
malignancies
.
We
describe
a
girl
who
presented
to
us
with
a
solitary
mastocytoma
at
age
5
and
later
developed
maculopapular
cutaneous
mastocytosis
.
At
age
23
,
after
an
episode
of
anaphylactic
shock
,
a
bone
marrow
examination
revealed
mast
cell
leukemia
.
She
ultimately
died
despite
aggressive
chemotherapy
and
bone
marrow
transplantation
.
Diseases
Validation
Diseases presenting
"anaphylactic shock"
symptom
cutaneous mastocytosis
systemic capillary leak syndrome
This symptom has already been validated