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Mastocytosis in pregnancy.
[cutaneous mastocytosis]
Mastocytosis
is
a
rare
disorder
characterized
by
abnormal
accumulation
of
mast
cells
in
various
organs
.
Clinical
complaints
include
pruritus
,
cutaneous
flushing
,
dyspepsia
,
and
episodes
of
anaphylaxis
,
and
are
usually
the
result
of
local
and
systemic
mast
cell
mediator
release
.
The
triggers
include
a
variety
of
factors
including
drugs
,
exercise
,
stress
,
anxiety
,
and
temperature
extremes
.
A
26
-
year
-old
primigravida
at
40
weeks
'
gestation
with
urticaria
pigmentosa
presented
to
our
hospital
.
She
was
diagnosed
with
cutaneous
mastocytosis
based
on
pathologic
examination
of
her
skin
biopsy
.
There
were
no
complications
during
pregnancy
,
except
for
cutaneous
manifestations
with
pruritus
and
premature
uterine
contractions
at
27
weeks
'
gestation
.
After
admission
,
antihistamine
agents
were
administered
during
labor
to
treat
the
above
symptoms
,
and
antibiotic
agents
were
given
for
prophylaxis
of
chorioamnionitis
.
Labor
pain
was
successfully
managed
with
warm
showers
,
frequent
position
changes
and
massage
,
and
therefore
,
epidural
analgesia
was
not
carried
out
.
After
6
hours
of
labor
,
the
patient
gave
birth
to
a
healthy
female
infant
via
normal
spontaneous
vaginal
delivery
with
right
mediolateral
episiotomy
.
Neither
local
anesthetic
agents
nor
antibiotic
agents
caused
any
reaction
.
The
postpartum
period
was
uneventful
.
Pregnant
women
with
mastocytosis
should
be
treated
symptomatically
and
should
avoid
factors
that
may
exacerbate
symptoms
of
disease
.
Clinicians
should
be
aware
of
preterm
labor
during
pregnancy
.
As
a
preventive
measure
,
resuscitation
equipment
should
be
available
during
the
labor
,
delivery
and
postpartum
period
to
treat
unanticipated
hypotension
and
shock
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated