Cleveland Clinic logo

Living With Systemic Mastocystosis

Systemic mastocytosis causes painful reactions inside your body and on your skin. It can hurt your internal organs. Learning to avoid what triggers the reactions can help you manage symptoms and reduce how often you experience them. Healthcare providers will suggest treatments to help you avoid complications.

Understanding systemic mastocytosis

Systemic mastocytosis can be exhausting to live with. It makes your body’s mast cells damage your tissue instead of protecting you like they should. This can cause a type of allergic reaction inside your body. These flare-ups happen even if you’re not exposed to any allergies. In a way, your body thinks it’s allergic to itself.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Managing systemic mastocytosis

Your healthcare providers will treat systemic mastocytosis, no matter how it affects you. They’ll work with you to find a combination of treatments that help you feel like yourself and prevent organ damage. You’ll need regular checkups to keep an eye on any changes in your body or on your skin.

Medications

Over-the-counter or prescription antihistamines can relieve skin symptoms. Your provider may suggest stronger medications like corticosteroids to calm down your overactive immune cells. You might also need targeted therapy if the systemic mastocytosis causes any type of cancer.

Avoiding triggers

Nothing you did caused the systemic mastocytosis. But you might be able to manage how often it affects you. Knowing what sets off symptom flares can help you avoid them. You can try to avoid any medications, foods or certain types of clothes if you know they cause reactions. It might be harder to avoid triggers like stress, exercise or temperature changes, but your providers can help.

Keeping a journal can help you keep track of everything. You’ll probably need to carry an epinephrine auto-injector with you at all times in case you have a severe reaction.

Low-histamine food plan

Tweaking what you eat can help control histamine in your blood. A low-histamine eating plan includes lots of fresh and unprocessed foods. You may need to avoid certain foods and drinks or eat more of some things. Your provider or dietitian will help you tweak your day-to-day eating plan to manage systemic mastocytosis flare-ups.

Surgery

You may need surgery to remove your spleen if your overactive mast cells damage it. In severe cases, your provider may recommend a stem cell transplant. This resets your body’s immune system so you develop a new one.

Advertisement

Work with your care team

To feel your best, you’ll need to visit a combination of primary care providers and specialists. Lots of people work with a rheumatologist to help them manage systemic mastocytosis. Your care team will include other specialists depending on where you have symptoms. A dermatologist helps manage any skin symptoms. Your cardiologist keeps an eye on your heart health. And a mental health provider can help you cope with psychological issues.

Advertisement

Related Content

Baby crawling across floor, with caregiver smiling on all fours behind them
February 6, 2026/Children's Health
When Do Babies Start To Crawl? And Why Is It Important?

Most babies will crawl between 7 and 10 months old, but later can be normal, too

Person applying skin care cream, with bottle, tube and jar of cream floating nearby
February 6, 2026/Skin Care & Beauty
Top 6 Benefits of Niacinamide

The popular skin care ingredient can help smooth, brighten and strengthen your skin

An embracing couple, forhead to forhead, with hearts all around
February 6, 2026/Mental Health
Can You Actually Be Addicted To Love?

Being hooked on love can cause unhealthy relationship patterns and obsessive thoughts

Whole and sliced open bergamot fruits
February 6, 2026/Heart Health
Can Bergamot Help Your Cholesterol?

There isn’t enough research to recommend the supplement as a solution for lowering LDL levels

Person holding up a pill in hand and water in other hand
February 5, 2026/Heart Health
How Long Does It Take for Statins To Reduce Plaque?

You may notice a decrease in your LDL ‘bad’ cholesterol in about four weeks

Caregiver and child preparing a salad together
February 5, 2026/Genomic Medicine
Foods To Eat and Avoid on a Phenylketonuria (PKU) Diet

People with PKU need to avoid high-protein foods, like meat, dairy, legumes and whole grains