Solitary mastocytoma: Finding in a health examination

Alba Martín, Anna Estabanell, Gemma Martín, Carles Barranco, Roser Besora

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Resum

Introduction. Solitary mastocytoma consists of the localised infiltration of mastocytes into the skin, and normally is manifested as a brownish-orange plaque or macule. It is one of the most frequent forms of mastocytosis in childhood, along with urticaria pigmentosa. 55% of the cases of mastocytosis appear during the first two years of life. Case report. There is the case of an 18-month-old child who presents with a skin lesion that is one centimetre in diameter, in the lumbar region, asymptomatic, with some months of evolution. When the lesion is rubbed, it turns more erythematic, and bothers the patient. With these clinical characteristics, solitary mastocytoma is diagnosed. Comments. The diagnosis of solitary mastocytoma is mainly clinical. In general it doesn't require treatment, as it normally resolves itself spontaneously during the childhood years. Only in some cases, when histamine is secreted as a result of the lesion being rubbed, causing systemic clinical symptoms, antihistaminic treatment must be established.
Idioma originalAnglès
Pàgines (de-a)119-121
RevistaPediatria Catalana
Volum70
Número3
Estat de la publicacióPublicada - 1 de jul. 2010

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