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Original Article
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Volume 309:1603-1605 December 29, 1983 Number 26
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Improved diagnosis of mastocytosis by measurement of urinary histamine metabolites
JJ Keyzer, JG de Monchy, JJ van Doormaal, and PC van Voorst Vader

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Abstract

In an attempt to facilitate the diagnosis of mastocytosis, we measured the urinary excretion of histamine and two of its main metabolites (N tau-methylhistamine and N tau-methylimidazoleacetic acid) in eight adults with this disorder. All patients had above-normal values for the metabolites of histamine, whereas only three had above-normal values for histamine. In both 24-hour and randomly voided urine specimens, the determination of histamine metabolites is more specific and sensitive for the diagnosis of mastocytosis than the determination of histamine itself.

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