title: Two patients with osteoporosis: initial presentation of systemic mastocytosis.
abstract: In two patients with osteoporosis, systemic mastocytosis ultimately turned out to be the underlying disease. Both patients had a history of anaphylactic reactions caused by wasp stings but did not have any skin or other symptoms. This observation reflects the need for careful history taking and physical examination in patients with osteoporosis to identify possible underlying diseases, such as systemic mastocytosis.
authors.affiliation: Department of Hematology, University Medical Center Groningen, University of Groningen, PO Box 30.001, 9700 RB, Groningen, the Netherlands. mldonker@gmail.com
authors.forename: Marjolein L
authors.initials: ML
authors.lastname: Donker
authors.forename: Nicolaas A
authors.initials: NA
authors.lastname: Bakker
authors.forename: Wim J M
authors.initials: WJ
authors.lastname: Jaspers
authors.forename: Albert H
authors.initials: AH
authors.lastname: Verhage
mesh_terms: D001853:Bone Marrow / Q000473:pathology; D005260:Female; D005557:Formaldehyde; D006801:Humans; D008297:Male; D034721:Mastocytosis, Systemic / Q000150:complications* / Q000175:diagnosis*; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications*; D016707:Tissue Fixation
chemical_list: D005557:Formaldehyde