raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:98850

Aggressive systemic mastocytosis

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult, Antenatal, Elderly, Neonatal
Status
active

A rare, aggressive form of advanced systemic mastocytosis (advSM) characterized by massive infiltration of mast cells (MC) in different tissues and presence of extracutaneous organ dysfunction, but without evidence of mast cell leukemia or another hematologic neoplasm.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAggressive systemic mastocytosis
frMastocytose systémique agressive
deMastzell-Leukämie, agressive
esMastocitosis sistémica agresiva
itMastocitosi sistemica aggressiva
nlAgressieve systemische mastocytose
ptMastocitose sistémica agressiva
plAgresywna mastocytoza układowa
csAgresivní systémová mastocytóza
ukАгресивний системний мастоцитоз
zh侵袭性系统性肥大细胞增多症
trAgresif sistemik mastositoz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10C96.2NTBTattributedvalidated
ICD-112A21.0YNTBTindexvalidated
ICD-11XH10N1Especificvalidated
MONDO0020333Evalidated
UMLSC1112486Evalidated
MedDRA10056453Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

5 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ASXL1Disease-causing somatic mutation(s) inAssessedHGNC:18318ENSG0000017145661299020q11.21ASXL transcriptional regulator 126464169[PMID]
CBLDisease-causing somatic mutation(s) inAssessedHGNC:1541ENSG0000011039516536011q23.3Cbl proto-oncogene22905207[PMID]
RUNX1Disease-causing somatic mutation(s) inAssessedHGNC:10471ENSG0000015921615138521q22.12RUNX family transcription factor 126464169[PMID]
SRSF2Disease-causing somatic mutation(s) inAssessedHGNC:10783ENSG0000016154760081317q25.2serine and arginine rich splicing factor 226464169[PMID]
TET2Disease-causing somatic mutation(s) inAssessedHGNC:25941ENSG000001687696128394q24tet methylcytosine dioxygenase 219262599[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 000—EuropeClass onlyValidated[EXPERT]_ORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

39 annotations · validated 2021-06-15
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0100494Abnormal mast cell morphology
Frequent (79-30%)
HP:0032155Abdominal cramps
HP:0002027Abdominal pain
HP:0100845Anaphylactic shock
HP:0002039Anorexia
HP:0002829Arthralgia
HP:0002653Bone pain
HP:0025142Constitutional symptom
HP:0002014Diarrhea
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0012378Fatigue
HP:0031284Flushing
HP:0001433Hepatosplenomegaly
HP:0002615Hypotension
HP:0031408Increased proportion of CD25+ mast cells
HP:0031901Increased serum mast cell beta-tryptase concentration
HP:0001974Increased total leukocyte count
HP:0002716Lymphadenopathy
HP:0002024Malabsorption
HP:0000939Osteoporosis
HP:0000989Pruritus
HP:0001824Weight loss
Occasional (29-5%)
HP:0008066Abnormal blistering of the skin
HP:0011121Abnormal skin morphology
HP:0001903Anemia
HP:0001541Ascites
HP:0001410Decreased liver function
HP:0001875Decreased total neutrophil count
HP:0002239Gastrointestinal hemorrhage
HP:0004377Hematological neoplasm
HP:0001971Hypersplenism
HP:0001909Leukemia
HP:0040186Maculopapular exanthema
HP:0002797Osteolysis
HP:0001876Pancytopenia
HP:0002756Pathologic fracture
HP:0001409Portal hypertension
HP:0001873Thrombocytopenia
HP:0001025Urticaria

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30504301[PMID]_30536695[PMID]_31802761[PMID]

7

Sources for this card