Mastocytosis

Also called Systemic mastocytosis or Urticaria pigmentosa

Mastocytosis is a rare condition where a type of immune cell, called a mast cell, builds up in the body. When it affects only the skin (cutaneous mastocytosis), it causes itchy spots and is common in children, who often grow out of it. In adults, it more often affects internal organs and bone marrow (systemic mastocytosis).

Last updated Nov 9, 2026

What it is

Mast cells release chemicals such as histamine, which can cause flushing, itching, tummy problems and, sometimes, anaphylaxis.

Treatment includes avoiding triggers, antihistamines and other medicines. People at risk of anaphylaxis carry adrenaline auto-injectors.

Common signs

  • Itchy brown or red spots that swell when rubbed
  • Flushing
  • Tummy pain and diarrhoea
  • Dizziness or fainting
  • Bone pain

How it is usually diagnosed

  • Examination of the skin
  • Blood test for tryptase
  • Skin or bone marrow biopsy

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Tryptase results over time
  • Biopsy reports
  • A list of known triggers
  • Haematology or dermatology letters

Questions to ask your doctor

  • Is it only in my skin or more widespread?
  • Which triggers should I avoid?
  • Do I need an adrenaline auto-injector?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Swelling of the throat, difficulty breathing or collapse: use an adrenaline auto-injector if you have one and call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources