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Would you perform a bone marrow biopsy in a patient who had systemic anaphylaxis with hypotension to a stinging insect?

Normal tryptase and normal alpha tryptase copy levels.
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Would you perform a bone marrow biopsy in a patient who had systemic anaphylaxis with hypotension to a stinging insect?

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1 Answer
Mednet Member
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Allergy & Immunology · Emory University Hospital
Answered on

I would start with checking a serum tryptase and D816V mutation. Also, apply a REMA score and do a good skin exam.

With normal tryptase and copy number, still check for KIT mutation.

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