title: Immunophenotyping of mast cells: a sensitive and specific diagnostic tool for systemic mastocytosis.
abstract: BACKGROUND
  The diagnosis of systemic mastocytosis (SM) is based on a combination of major and minor criteria. Flow cytometric detection of aberrant expression of CD2 and/or CD25 on CD117-positive mast cells is one of the minor criteria used. In the present study we examined the sensitivity and specificity of mast cell immunophenotyping in the diagnosis of SM.
  
  
  METHODS
  Patients were 36 persons with SM diagnosed according to WHO criteria. Controls were 31 patients without SM. Immunophenotyping was performed according to published guidelines.
  
  
  RESULTS
  All patients with SM were positive for CD2 and/or CD25. All patients without SM , except one, were negative for these markers. The sensitivity for immunophenotyping was 100%, the specificity 91%. The positive and negative predictive values were 97% and 100% respectively.
  
  
  CONCLUSIONS
  Immunophenotyping of bone marrow derived mast cells is not only a very sensitive but also a very specific method to diagnose SM with high positive and negative predictive value.
authors: Department of Internal Medicine, Erasmus Medical Centre, University Medical Center Rotterdam, Rotterdam, the Netherlands. p.l.a.vandaele@erasmusmc.nl
authors: P L A
authors: PL
authors: van Daele
authors: B S
authors: BS
authors: Beukenkamp
authors: W M C
authors: WM
authors: Geertsma-Kleinekoort
authors: P J M
authors: PJ
authors: Valk
authors: J A M
authors: JA
authors: van Laar
authors: P M
authors: PM
authors: van Hagen
authors: V H J
authors: VH
authors: van der Velden
mesh_terms: D000328:Adult; D000368:Aged; D018801:CD2 Antigens; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D016130:Immunophenotyping / Q000379:methods / Q000592:standards*; D053645:Interleukin-2 Receptor alpha Subunit / Q000032:analysis; D008297:Male; D008407:Mast Cells / Q000276:immunology*; D034721:Mastocytosis, Systemic / Q000175:diagnosis*; D008875:Middle Aged; D009426:Netherlands; D019009:Proto-Oncogene Proteins c-kit; D012680:Sensitivity and Specificity
chemical_list: D018801:CD2 Antigens; D053645:Interleukin-2 Receptor alpha Subunit; D019009:Proto-Oncogene Proteins c-kit