• Anaesthesia · Aug 1998

    Case Reports

    Systemic mastocytosis presenting as profound cardiovascular collapse during anaesthesia.

    • S T Vaughan and G N Jones.
    • Royal Preston Hospital, Preston, UK.
    • Anaesthesia. 1998 Aug 1; 53 (8): 804-7.

    AbstractMastocytosis is a rare disorder with serious anaesthetic implications. Anaesthetic management is hazardous since trauma, stress, extremes of temperature and drugs may precipitate intra-operative mast cell degranulation. Release of histamine and other mast cell mediators can lead to profound cardiovascular collapse and even death. We present a case report of a patient with mastocytosis who suffered cardiac arrest during anaesthesia. Anaphylactoid/anaphylactic shock may be delayed and lack supporting signs of histamine release such as cutaneous flushing and bronchospasm.

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