Dendritic ulcer steroids

Andrew A Dahl, MD, FACS  Assistant Professor of Surgery (Ophthalmology), New York College of Medicine (NYCOM); Director of Residency Ophthalmology Training, The Institute for Family Health and Mid-Hudson Family Practice Residency Program; Staff Ophthalmologist, Telluride Medical Center

Andrew A Dahl, MD, FACS is a member of the following medical societies: American Academy of Ophthalmology , American College of Surgeons , American Intraocular Lens Society, American Medical Association , American Society of Cataract and Refractive Surgery , Contact Lens Association of Ophthalmologists , Medical Society of the State of New York , New York State Ophthalmological Society , Outpatient Ophthalmic Surgery Society

Disclosure: Nothing to disclose.

Probably the major cause of high histamine is recently discovered Heriditary Alpha Typtasemia which 6% of the population has, inheriting extra copies of the alpha tryptase gene, and links three diseases. POTS, Ehler Danlos, and MCAS (Mast Cell Activation Disorder). One study actually shows tryptase keeps you from going into anaphylactic shock. Patients who suspect they may have hereditary alpha tryptasemia syndrome should first have a baseline blood tryptase test drawn by their doctor, if they haven’t already. It should not be drawn immediately after a major allergic reaction, as that can lead to an elevated tryptase for a different reason. A serum level greater than 10 ng/ml is suggestive of alpha tryptasemia, while a level lower than 8ng/ml makes this diagnosis far less likely. There is no commercially available test for the genetic duplication, and it cannot be identified through usual genetic testing including microarrays, whole exome sequencing, or whole genome sequencing. The research-based test that can diagnose alpha tryptasemia is under development.

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