Table 4.

Criteria defining systemic mastocytosis (SM).

* If at least 1 major and 1 one minor, or at least 3 minor criteria, are met, the diagnosis of SM can be established. 
** Activating mutations at codon 816; in most cases, c-kit D816V. 
Abbreviations: MCs, mast cells; AHNMD, associated hematologic clonal non–mast cell lineage disease. 
Major:*  Multifocal dense infiltrates of MCs in bone marrow or other extracutaneous organ(s) (>15 MCs in aggregate) 
Minor:* a. MCs in bone marrow or other extracutaneous organ(s) show an abnormal morphology (> 25%) 
 b. c-kit mutation at codon 816** in extracutaneous organ(s) 
 c. MCs in bone marrow express CD2 and/or CD25 
 d. Serum total tryptase > 20 ng/mL (does not count in patients who have AHNMD-type disease) 
* If at least 1 major and 1 one minor, or at least 3 minor criteria, are met, the diagnosis of SM can be established. 
** Activating mutations at codon 816; in most cases, c-kit D816V. 
Abbreviations: MCs, mast cells; AHNMD, associated hematologic clonal non–mast cell lineage disease. 
Major:*  Multifocal dense infiltrates of MCs in bone marrow or other extracutaneous organ(s) (>15 MCs in aggregate) 
Minor:* a. MCs in bone marrow or other extracutaneous organ(s) show an abnormal morphology (> 25%) 
 b. c-kit mutation at codon 816** in extracutaneous organ(s) 
 c. MCs in bone marrow express CD2 and/or CD25 
 d. Serum total tryptase > 20 ng/mL (does not count in patients who have AHNMD-type disease) 

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