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

Silhouette with brain, with colorful music notes, positively affecting the brain
August 1, 2025/Mental Health
Your Brain on Music: How Tunes Can Impact Your Mind

A single song can go a long way in helping you focus, recall memories and develop new neural connections in your brain

Plate of roasted Brussels sprouts
August 1, 2025/Nutrition
Are Brussels Sprouts Good for You?

They may not be your favorite veggie, but they’re packed with disease-fighting nutrients and tasty when roasted

Person injecting EpiPen into thigh
August 1, 2025/Allergies
EpiPen Alternatives You Should Know About

You can now get lifesaving epinephrine in a nasal spray and prefilled syringes

Woman with hair up, leaning over the toilet
July 31, 2025/Primary Care
Wondering What the Color of Your Vomit Means for Your Health? Consult This Chart

Seek emergency care for vomit that’s red, black, brown or resembles coffee grounds

Chopsticks picking up bite of seaweed from a plate
July 31, 2025/Nutrition
5 Reasons To Make Seaweed Part of Your Meals

Mineral-rich seaweed is good for your heart, digestion, muscles and more

Cupped hands holding ashwaganda, winter cherry or indian ginsing, in root, leaf and fruit forms
July 31, 2025/Mental Health
Benefits of Ashwagandha and How Much To Take

This herbal medicine is said to reduce stress, ease pain and promote overall well-being, but more research is needed