Table 1

Demographic and clinical characteristics at referral of 342 patients with SM

CharacteristicNo. of patients (%)Median (range)
Total no. of SM patients 342  
    ISM 159 (46)  
        Isolated bone marrow mastocytosis 36 (23)  
        Smoldering systemic mastocytosis 22 (14)  
    ASM 41 (12)  
    SM-AHNMD 138 (40)  
    MCL 4 (1)  
Male 188 (55)  
Age, y  57 (19-87) 
Time from appearance of symptoms to diagnosis of SM, mo  33 (0-516) 
Follow-up, mo   
    From onset of symptoms  69 (1.6-741.1) 
    From diagnosis of SM  20.7 (0-417.1) 
Clinical findings   
    Urticaria pigmentosa 140 (41)  
    Cutaneous symptoms* 182 (53)  
    Constitutional symptoms 142 (42)  
    Mediator-related symptoms 160 (47)  
    Idiopathic and/or recurrent anaphylactoid reaction 57 (17)  
    Musculoskeletal symptoms§ 107 (31)  
    Gastrointestinal symptoms 221 (65)  
Hepatosplenomegaly   
    Hepatomegaly, n = 342 92 (27)  
    Splenomegaly, n = 335 123 (37)  
    Both hepatomegaly and splenomegaly, n = 335 72 (21)  
Lymphadenopathy 73 (21)  
Leukemic transformation (AML or MCL) 21 (6)  
CharacteristicNo. of patients (%)Median (range)
Total no. of SM patients 342  
    ISM 159 (46)  
        Isolated bone marrow mastocytosis 36 (23)  
        Smoldering systemic mastocytosis 22 (14)  
    ASM 41 (12)  
    SM-AHNMD 138 (40)  
    MCL 4 (1)  
Male 188 (55)  
Age, y  57 (19-87) 
Time from appearance of symptoms to diagnosis of SM, mo  33 (0-516) 
Follow-up, mo   
    From onset of symptoms  69 (1.6-741.1) 
    From diagnosis of SM  20.7 (0-417.1) 
Clinical findings   
    Urticaria pigmentosa 140 (41)  
    Cutaneous symptoms* 182 (53)  
    Constitutional symptoms 142 (42)  
    Mediator-related symptoms 160 (47)  
    Idiopathic and/or recurrent anaphylactoid reaction 57 (17)  
    Musculoskeletal symptoms§ 107 (31)  
    Gastrointestinal symptoms 221 (65)  
Hepatosplenomegaly   
    Hepatomegaly, n = 342 92 (27)  
    Splenomegaly, n = 335 123 (37)  
    Both hepatomegaly and splenomegaly, n = 335 72 (21)  
Lymphadenopathy 73 (21)  
Leukemic transformation (AML or MCL) 21 (6)  

ISM indicates indolent systemic mastocytosis (SM); ASM, aggressive SM; SM-AHNMD, SM with associated clonal hematologic non–mast cell lineage disease; MCL, mast cell leukemia; AML, acute myeloid leukemia; and No., number.

*

Includes pruritus, flushing, urticaria, and angioedema.

Includes weight loss, fever, chills, and night sweats.

Includes headache, dizziness/lightheadedness, syncope/presyncope, hypotension, anaphylaxis, palpitation/tachycardia, bronchoconstriction/wheezing, and peptic ulcer disease.

§

Includes bone pain, arthralgias, and myalgias.

Includes nausea/vomiting, dyspepsia, dysphagia, diarrhea, constipation, abdominal pain/cramping, bloating/flatulence, early satiety, heartburn, gastrointestinal tract bleeding, malabsorption, and steatorrhea.

Either palpable or detected by imaging studies.

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