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Solitary Mastocytosis (Urticaria Pigmentosa)

Solitary Mastocytosis (Urticaria Pigmentosa) Abstract Mastocytosis has been studied vigorously from the clinical and physiological aspects during the past decade. This renewed interest has been due to the discovery that mastocytosis may occur as a systemic disease and to an increased knowledge of the biochemistry and physiology of the mast cell. Most of the recent reports have emphasized the patient with systemic involvement. This article deals with the other end of the clinical spectrum and includes the first report of solitary mastocytosis occurring in adults. A study of 14 patients with solitary mastocytosis was undertaken to determine the relative incidence, clinical course, and histopathological and histochemical characteristics. The first example of mastocytosis occurring as a single lesion was recorded in 1933, when Gross1 presented a 5-month-old boy with a brownish nodule on the thigh to the New York Dermatological Society. Other cases have been reported by Cuilleret2 in 1935, Costello3 in 1948, References 1. Dr. F. J. Compos, Dr. J. B. Gramlich, and Dr. F. G. Novy obtained additional clinical data and follow-up information. 2. Gross, P.: Urticaria Pigmentosa (Solitary Lesion) , Arch. Derm. Syph. 29:451 ( (March) ) 1934. 3. Cuilleret, P.: Élément cutané unique chez un enfant de 13 mois, a caractères d'urticaire pigmentaire , Bull. Soc. Franc. Derm. Syph. 42:193 ( (Jan.) ) 1935. 4. Costello, M. J.: A Case for Diagnosis (Urticaria Pigmentosa? Histocytoma?) , Arch. Derm. Syph. 57:515 ( (March) ) 1948. 5. Novy, F. G., Jr.: Single Lesion of Urticaria Pigmentosa (Nevus?) , Arch. Derm. Syph. 61:514 ( (March) ) 1950. 6. Bolgert, M., and Le Sourd, M.: Cas pour diagnostic , Bull. Soc. Franc. Derm. Syph. 57:341 ( (June) ) 1950. 7. Scott, M. J., and Lewis, G. M.: Urticaria Pigmentosa: Report of Case with Solitary Lesion , A.M.A. Arch. Derm. Syph. 66:618 ( (Nov.) ) 1952.Crossref 8. Gate, J.; Terrier, H., and Pruniéras, M.: Tumeur a mastocytes chez un enfant de 3 mois , Bull. Soc. Franc. Derm. Syph. 61:57 ( (Jan.) -Feb.) 1954. 9. Chargin, L., and Sachs, P. M.: Urticaria Pigmentosa Appearing as a Solitary Nodular Lesion , A.M.A. Arch. Derm. Syph. 69:345 ( (March) ) 1954.Crossref 10. DeGraciansky, P.; Loewe-Lyon; Grupper, C., and Taieb, R.: Mastocytome unique avec pousée bulleuse , Bull. Soc. Franc. Derm. Syph. 61:104 ( (March) -April) 1954. 11. Drennan, J. M., and Beare, J. M.: Solitary Mast-Cell Naevus , J. Path. Bact. 68:345 ( (Oct.) ) 1954.Crossref 12. Degos, R.; Delort, J.; Verliac, F., and Civatté, J.: Mastocytose a plaque unique du nourrisson; Poussées bulleuses locales associées a une vase-dilatation généralisée des téquement , Bull. Soc. Franc. Derm. Syph. 62:135 ( (March) -April) 1955. 13. Lynch, F. W.: Urticaria Pigmentosa , A.M.A. Arch. Derm. 71:668 ( (May) ) 1955. 14. Szymanski, F. J., and Becker, L. A.: Urticaria Pigmentosa (Solitary Lesion) , A.M.A. Arch. Derm. 73:608 ( (June) ) 1956. 15. Zackheim, H. S.: Urticaria Pigmentosa with Mast Cell Tumor , A.M.A. Arch. Derm. 75:140 ( (Jan.) ) 1957. 16. Burks, J. W., and Chernosky, M. E.: Nodular Urticaria Pigmentosa of the Vulva in Siblings , A.M.A. Arch. Derm. 75:812 ( (June) ) 1957.Crossref 17. Cid, J. M.: Nevo Mastocitario , An. Cir. (Rosario) 22:75 ( (April) -June) 1957. 18. Marshall, J.; Walker, J.; Lurie, H.; Hansen, J., and MacKenzie, D.: Solitary Mastocytoma and the Mastocytoses , S. Afr. Med. J. 31:867 ( (Aug.) ) 1957. 19. Kaminsky, A.; Daitsch, J., and Abulafia, J.: Urticaria Pigmentosa: Lesion Unica , Arch. Argent. Derm. 7:247 ( (Sept.) ) 1957. 20. Jacobs, P. H.: Urticaria Pigmentosa , A.M.A. Arch. Derm. 77:112 ( (Jan.) ) 1958.Crossref 21. Birt, A. R., and Nickerson, M.: Generalized Flushing of the Skin with Urticaria Pigmentosa , A.M.A. Arch. Derm. 80:311 ( (Sept.) ) 1959.Crossref 22. Blaich, W.: Solitares Tuberoses Mastocytom mit generalisierten Gefasskrisen , Zbl. Haut Geschlechtskr. 28:326 ( (Oct.) ) 1960. 23. Mallory, F. B.: Pathologic Technique , Philadelphia, W. B. Saunders Company, 1938. 24. Lillie, R. D.: Histopathologic Technic and Practical Histochemistry , New York, Blakiston Company, 1954. 25. Spicer, S. S., and Lillie, R. D.: Saponification As a Means of Selectively Reversing the Methylation Blockade of Tissue Basophilia , J. Histochem. Cytochem. 7:123 ( (March) ) 1959.Crossref 26. Manual of Histologic and Special Staining Technics , Washington, D.C., Armed Forces Institute of Pathology, 1957. 27. Kovacs, A.: Antihistaminic Effect of Eosinophil Leukocytes , Experientia 6:349 ( (Sept.) ) 1950.Crossref 28. Vercauterin, R.: The Properties of the Isolated Granules from Blood Eosinophiles , Enzymologia 16:1 (No. (1) ) 1953-54. 29. Archer, R. K.: Eosiniphil Leucocytes and Their Reactions to Histamine and 5-Hydroxythryptamine , J. Path. Bact. 78:95 ( (July) ) 1959.Crossref 30. Morrione, T. G.: The Formation of Collagen Fibers by Action of Heparin on Soluble Collagen: Electron Microscope Study , J. Exp. Med. 96:107 ( (Aug.) ) 1952.Crossref 31. Drennan, J. M.: The Mast Cell in Urticaria Pigmentosa , J. Path. Bact. 63:513 ( (July) ) 1951.Crossref 32. Braun-Falco, O.: Morphologische und pharmakologische Untersuchungen zur Frage der Histaminabgabe durch Mastzellen , Arch. Derm. Syph. 199:197 ( (Jan.) ) 1955.Crossref 33. Abul-Haj, S. K., and Rinehart, J. F.: Fuchsin-Aldehyde Staining of Sulfated Mucopolysaccharides and Related Substances , J. Nat. Cancer Inst. 13:232 ( (Aug.) ) 1952. 34. Scott, H. R., and Clayton, B. P.: A Comparison of the Staining Affinities of Aldehyde-Fuchsin and the Schiff Reagent , J. Histochem. Cytochem. 1:336 ( (Sept.) ) 1953.Crossref 35. Ratzenhofer, M., and Lembeck, F.: Modellversuche zur Histochemie silberreduzierender Substrate , Virchow Arch. Path. Anat. 332:83 ( (Jan.) ) 1959.Crossref 36. Staemmler, M.: Untersuchung über Vorkommen und Bedeutung der histiogenen Mastzellen im menschlichen Korper unter normalen und pathologischen Verhältnissen , Frankfurt. Z. Path. 25:391, 1921. 37. Asboe-Hansen, G.: The Variability in the Hyaluronic Acid Content of the Dermal Connective Tissue Under the Influence of Thyroid Hormone , Acta Dermatovener. (Stockh.) 30:221, 1950. 38. Asboe-Hansen, G.: The Pathogenesis of Cutaneous Myxedema , A.M.A. Arch. Derm. 82:32 ( (July) ) 1960.Crossref 39. Davis, D. V.: The Staining Reactions of Normal Synovical Membrane with Special Reference to the Origin of Synovial Mucin , J. Anat. 77:160 ( (Jan.) ) 1943. 40. Bunting, H.: The Distribution of Acid Mucopolysaccharides in Mammalian Tissues as Revealed by Histochemical Methods , Ann. N.Y. Acad. Sci. 52:977 ( (May) ) 1950.Crossref 41. Prakken, J. R., and Woerdeman, M. J.: Mast Cells in Diseases of the Skin; Their Relationship to Tissue Eosinophilia , Dermatologica 105:116 (No. (2) ) 1952.Crossref 42. Cawley, E. P.; Mowry, R. W.; Lupton, C. H., Jr., and Wheeler, C. E.: The Remarkable Tissue Mast Cells , A.M.A. Arch. Derm. 8:725 ( (Dec.) ) 1959.Crossref 43. Gustafsson, B. E., and Cromberg, S.: The Effect of Hyaluronidase and Toluidine on the Mast Cells in Rats and Hamsters , Acta Rheum. Scand. 5:179 (No. (3) ) 1959.Crossref 44. Davies, D. V.: Specificity of Staining Methods for Mucopolysaccharides of the Hyaluronic Acid Type , Stain Techn. 27:65 ( (March) ) 1952. 45. Glegg, R. E.; Clermont, Y., and Leblond, C. P.: The Use of Lead Tetraacetate, Benzidine, O-Dianisidine and a "Film Test" in Investigating the Periodic-Acid-Schiff Technic , Stain Techn. 27: 277 ( (Nov.) ) 1952. 46. Braden, A. W. H.: The Reactions of Isolated Mucopolysaccharides to Several Histochemical Tests , Stain Techn. 30:19 ( (Jan.) ) 1955. 47. Hooghwinkel, G. J. M., and Smits, G.: The Specificity of the Periodic Acid-Schiff Technique Studied by a Quantitative Test-Tube Method , J. Histochem. Cytochem. 5:120 ( (March) ) 1957.Crossref 48. Leblond, C. P.; Glegg, R. E., and Eidinger, D.: Presence of Carbohydrates with Free 1,2-Glycol Groups in Sites Stained by the Periodic Acid-Schiff Technique , J. Histochem. Cytochem. 5:445 ( (Sept.) ) 1957.Crossref 49. Braun-Falco, O., and Salfeld, K.: Leucine Aminopeptidase Activity in Mast Cells , Nature 183:51 ( (Jan.) ) 1959.Crossref 50. Benditt, E. P., and Arase, M.: An Enzyme in Mast Cells with Properties Like Chymotrypsin , J. Exp. Med. 110:451 ( (Sept.) ) 1959.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Solitary Mastocytosis (Urticaria Pigmentosa)

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References (55)

Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1961.01580170100014
Publisher site
See Article on Publisher Site

Abstract

Abstract Mastocytosis has been studied vigorously from the clinical and physiological aspects during the past decade. This renewed interest has been due to the discovery that mastocytosis may occur as a systemic disease and to an increased knowledge of the biochemistry and physiology of the mast cell. Most of the recent reports have emphasized the patient with systemic involvement. This article deals with the other end of the clinical spectrum and includes the first report of solitary mastocytosis occurring in adults. A study of 14 patients with solitary mastocytosis was undertaken to determine the relative incidence, clinical course, and histopathological and histochemical characteristics. The first example of mastocytosis occurring as a single lesion was recorded in 1933, when Gross1 presented a 5-month-old boy with a brownish nodule on the thigh to the New York Dermatological Society. Other cases have been reported by Cuilleret2 in 1935, Costello3 in 1948, References 1. Dr. F. J. Compos, Dr. J. B. Gramlich, and Dr. F. G. Novy obtained additional clinical data and follow-up information. 2. Gross, P.: Urticaria Pigmentosa (Solitary Lesion) , Arch. Derm. Syph. 29:451 ( (March) ) 1934. 3. Cuilleret, P.: Élément cutané unique chez un enfant de 13 mois, a caractères d'urticaire pigmentaire , Bull. Soc. Franc. Derm. Syph. 42:193 ( (Jan.) ) 1935. 4. Costello, M. J.: A Case for Diagnosis (Urticaria Pigmentosa? Histocytoma?) , Arch. Derm. Syph. 57:515 ( (March) ) 1948. 5. Novy, F. G., Jr.: Single Lesion of Urticaria Pigmentosa (Nevus?) , Arch. Derm. Syph. 61:514 ( (March) ) 1950. 6. Bolgert, M., and Le Sourd, M.: Cas pour diagnostic , Bull. Soc. Franc. Derm. Syph. 57:341 ( (June) ) 1950. 7. Scott, M. J., and Lewis, G. M.: Urticaria Pigmentosa: Report of Case with Solitary Lesion , A.M.A. Arch. Derm. Syph. 66:618 ( (Nov.) ) 1952.Crossref 8. Gate, J.; Terrier, H., and Pruniéras, M.: Tumeur a mastocytes chez un enfant de 3 mois , Bull. Soc. Franc. Derm. Syph. 61:57 ( (Jan.) -Feb.) 1954. 9. Chargin, L., and Sachs, P. M.: Urticaria Pigmentosa Appearing as a Solitary Nodular Lesion , A.M.A. Arch. Derm. Syph. 69:345 ( (March) ) 1954.Crossref 10. DeGraciansky, P.; Loewe-Lyon; Grupper, C., and Taieb, R.: Mastocytome unique avec pousée bulleuse , Bull. Soc. Franc. Derm. Syph. 61:104 ( (March) -April) 1954. 11. Drennan, J. M., and Beare, J. M.: Solitary Mast-Cell Naevus , J. Path. Bact. 68:345 ( (Oct.) ) 1954.Crossref 12. Degos, R.; Delort, J.; Verliac, F., and Civatté, J.: Mastocytose a plaque unique du nourrisson; Poussées bulleuses locales associées a une vase-dilatation généralisée des téquement , Bull. Soc. Franc. Derm. Syph. 62:135 ( (March) -April) 1955. 13. Lynch, F. W.: Urticaria Pigmentosa , A.M.A. Arch. Derm. 71:668 ( (May) ) 1955. 14. Szymanski, F. J., and Becker, L. A.: Urticaria Pigmentosa (Solitary Lesion) , A.M.A. Arch. Derm. 73:608 ( (June) ) 1956. 15. Zackheim, H. S.: Urticaria Pigmentosa with Mast Cell Tumor , A.M.A. Arch. Derm. 75:140 ( (Jan.) ) 1957. 16. Burks, J. W., and Chernosky, M. E.: Nodular Urticaria Pigmentosa of the Vulva in Siblings , A.M.A. Arch. Derm. 75:812 ( (June) ) 1957.Crossref 17. Cid, J. M.: Nevo Mastocitario , An. Cir. (Rosario) 22:75 ( (April) -June) 1957. 18. Marshall, J.; Walker, J.; Lurie, H.; Hansen, J., and MacKenzie, D.: Solitary Mastocytoma and the Mastocytoses , S. Afr. Med. J. 31:867 ( (Aug.) ) 1957. 19. Kaminsky, A.; Daitsch, J., and Abulafia, J.: Urticaria Pigmentosa: Lesion Unica , Arch. Argent. Derm. 7:247 ( (Sept.) ) 1957. 20. Jacobs, P. H.: Urticaria Pigmentosa , A.M.A. Arch. Derm. 77:112 ( (Jan.) ) 1958.Crossref 21. Birt, A. R., and Nickerson, M.: Generalized Flushing of the Skin with Urticaria Pigmentosa , A.M.A. Arch. Derm. 80:311 ( (Sept.) ) 1959.Crossref 22. Blaich, W.: Solitares Tuberoses Mastocytom mit generalisierten Gefasskrisen , Zbl. Haut Geschlechtskr. 28:326 ( (Oct.) ) 1960. 23. Mallory, F. B.: Pathologic Technique , Philadelphia, W. B. Saunders Company, 1938. 24. Lillie, R. D.: Histopathologic Technic and Practical Histochemistry , New York, Blakiston Company, 1954. 25. Spicer, S. S., and Lillie, R. D.: Saponification As a Means of Selectively Reversing the Methylation Blockade of Tissue Basophilia , J. Histochem. Cytochem. 7:123 ( (March) ) 1959.Crossref 26. Manual of Histologic and Special Staining Technics , Washington, D.C., Armed Forces Institute of Pathology, 1957. 27. Kovacs, A.: Antihistaminic Effect of Eosinophil Leukocytes , Experientia 6:349 ( (Sept.) ) 1950.Crossref 28. Vercauterin, R.: The Properties of the Isolated Granules from Blood Eosinophiles , Enzymologia 16:1 (No. (1) ) 1953-54. 29. Archer, R. K.: Eosiniphil Leucocytes and Their Reactions to Histamine and 5-Hydroxythryptamine , J. Path. Bact. 78:95 ( (July) ) 1959.Crossref 30. Morrione, T. G.: The Formation of Collagen Fibers by Action of Heparin on Soluble Collagen: Electron Microscope Study , J. Exp. Med. 96:107 ( (Aug.) ) 1952.Crossref 31. Drennan, J. M.: The Mast Cell in Urticaria Pigmentosa , J. Path. Bact. 63:513 ( (July) ) 1951.Crossref 32. Braun-Falco, O.: Morphologische und pharmakologische Untersuchungen zur Frage der Histaminabgabe durch Mastzellen , Arch. Derm. Syph. 199:197 ( (Jan.) ) 1955.Crossref 33. Abul-Haj, S. K., and Rinehart, J. F.: Fuchsin-Aldehyde Staining of Sulfated Mucopolysaccharides and Related Substances , J. Nat. Cancer Inst. 13:232 ( (Aug.) ) 1952. 34. Scott, H. R., and Clayton, B. P.: A Comparison of the Staining Affinities of Aldehyde-Fuchsin and the Schiff Reagent , J. Histochem. Cytochem. 1:336 ( (Sept.) ) 1953.Crossref 35. Ratzenhofer, M., and Lembeck, F.: Modellversuche zur Histochemie silberreduzierender Substrate , Virchow Arch. Path. Anat. 332:83 ( (Jan.) ) 1959.Crossref 36. Staemmler, M.: Untersuchung über Vorkommen und Bedeutung der histiogenen Mastzellen im menschlichen Korper unter normalen und pathologischen Verhältnissen , Frankfurt. Z. Path. 25:391, 1921. 37. Asboe-Hansen, G.: The Variability in the Hyaluronic Acid Content of the Dermal Connective Tissue Under the Influence of Thyroid Hormone , Acta Dermatovener. (Stockh.) 30:221, 1950. 38. Asboe-Hansen, G.: The Pathogenesis of Cutaneous Myxedema , A.M.A. Arch. Derm. 82:32 ( (July) ) 1960.Crossref 39. Davis, D. V.: The Staining Reactions of Normal Synovical Membrane with Special Reference to the Origin of Synovial Mucin , J. Anat. 77:160 ( (Jan.) ) 1943. 40. Bunting, H.: The Distribution of Acid Mucopolysaccharides in Mammalian Tissues as Revealed by Histochemical Methods , Ann. N.Y. Acad. Sci. 52:977 ( (May) ) 1950.Crossref 41. Prakken, J. R., and Woerdeman, M. J.: Mast Cells in Diseases of the Skin; Their Relationship to Tissue Eosinophilia , Dermatologica 105:116 (No. (2) ) 1952.Crossref 42. Cawley, E. P.; Mowry, R. W.; Lupton, C. H., Jr., and Wheeler, C. E.: The Remarkable Tissue Mast Cells , A.M.A. Arch. Derm. 8:725 ( (Dec.) ) 1959.Crossref 43. Gustafsson, B. E., and Cromberg, S.: The Effect of Hyaluronidase and Toluidine on the Mast Cells in Rats and Hamsters , Acta Rheum. Scand. 5:179 (No. (3) ) 1959.Crossref 44. Davies, D. V.: Specificity of Staining Methods for Mucopolysaccharides of the Hyaluronic Acid Type , Stain Techn. 27:65 ( (March) ) 1952. 45. Glegg, R. E.; Clermont, Y., and Leblond, C. P.: The Use of Lead Tetraacetate, Benzidine, O-Dianisidine and a "Film Test" in Investigating the Periodic-Acid-Schiff Technic , Stain Techn. 27: 277 ( (Nov.) ) 1952. 46. Braden, A. W. H.: The Reactions of Isolated Mucopolysaccharides to Several Histochemical Tests , Stain Techn. 30:19 ( (Jan.) ) 1955. 47. Hooghwinkel, G. J. M., and Smits, G.: The Specificity of the Periodic Acid-Schiff Technique Studied by a Quantitative Test-Tube Method , J. Histochem. Cytochem. 5:120 ( (March) ) 1957.Crossref 48. Leblond, C. P.; Glegg, R. E., and Eidinger, D.: Presence of Carbohydrates with Free 1,2-Glycol Groups in Sites Stained by the Periodic Acid-Schiff Technique , J. Histochem. Cytochem. 5:445 ( (Sept.) ) 1957.Crossref 49. Braun-Falco, O., and Salfeld, K.: Leucine Aminopeptidase Activity in Mast Cells , Nature 183:51 ( (Jan.) ) 1959.Crossref 50. Benditt, E. P., and Arase, M.: An Enzyme in Mast Cells with Properties Like Chymotrypsin , J. Exp. Med. 110:451 ( (Sept.) ) 1959.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Nov 1, 1961

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