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Revista de la Sociedad Española del Dolor
Print version ISSN 1134-8046
Abstract
OLARRA, J. and LONGARELA, A.. Analgesic and anesthetic management in systemic mastocytosis: a case report. Rev. Soc. Esp. Dolor [online]. 2010, vol.17, n.1, pp.28-31. ISSN 1134-8046.
Mastocytoses are a heterogeneous group of entities characterized by mast cell proliferation in one or more organs or tissues. When tissues other than the skin are involved, the disease is called systemic mastocytosis (SM). SM is a highly infrequent disease, whose incidence and prevalence are unknown. The anesthetic management of these patients must consider the fact that many drugs can trigger massive release of chemical mediators of mast cells. We report the case of a patient diagnosed with SM who underwent total hysterectomy and discuss the importance of thorough preoperative study, as well as the anesthetic technique and type of analgesia chosen. We also report our protocol for anesthetic management in this disease.
Keywords : Systemic mastocytosis; Acute pain.