Any connection between Neuropathy and MCAS?

Posted by pennycurious1 @pennycurious1, Dec 18 2:22am

I am one of the seemingly millions of people round the globe suffering from neuropathy.

My symptom pattern is immensely diverse with the main symptom of course being pain. However, I have been diagnosed with other sideline symptoms such as a huge histamine overload (not allergic) due to a systemic disorder called Mast Cell Activation Syndrome. I wonder whether there could be any connection between this syndrome and my neuropathy pains.

Any experience or knowledge about this?

Interested in more discussions like this? Go to the Neuropathy Support Group.

@pennycurious1 I don't have any experience other than having small fiber peripheral neuropathy but there does seem to be a connection between the conditions. Here's just one of many research articles on the topic:
-- Mast cell disorders are associated with decreased cerebral blood flow and small fiber neuropathy:
https://pubmed.ncbi.nlm.nih.gov/34648976/
@blaira started another discussion and mentioned having MCAS and small fiber neuropathy along with other conditions - https://connect.mayoclinic.org/discussion/very-elevated-gdf-15-suggestive-of-mitochondrial-disease/.

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Good morning. I also have mcas, hereditary alpha tryptasemia syndrome, and small fiber neuropathy. Yes, a large percentage of us masters have small fiber neuropathy as well. I have tried lyrica but my blood sugar raised too much and I am also diabetic. Now trying neurotic slowing. It’s so sedating. My sfn only acts up when I am having a major flare which seems to be every day to a certain extent. My triggers are environmental. Hope this helps.

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Profile picture for nurse1963 @nurse1963

Good morning. I also have mcas, hereditary alpha tryptasemia syndrome, and small fiber neuropathy. Yes, a large percentage of us masters have small fiber neuropathy as well. I have tried lyrica but my blood sugar raised too much and I am also diabetic. Now trying neurotic slowing. It’s so sedating. My sfn only acts up when I am having a major flare which seems to be every day to a certain extent. My triggers are environmental. Hope this helps.

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Welcome @nurse1963, Thanks for sharing your experience. I have idiopathic small fiber peripheral neuropathy but no pain, just numbness and some tingling. I'm glad to see that you have connected here with @pennycurious1 and @blaira. You mentioned environmental triggers, do you have any suggestions to help manage environmental triggers to reduce flareups?

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Profile picture for John, Volunteer Mentor @johnbishop

Welcome @nurse1963, Thanks for sharing your experience. I have idiopathic small fiber peripheral neuropathy but no pain, just numbness and some tingling. I'm glad to see that you have connected here with @pennycurious1 and @blaira. You mentioned environmental triggers, do you have any suggestions to help manage environmental triggers to reduce flareups?

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Yeah live in a bubble lol! I am allergic to cat, dog, dust, mite, mold, grass, trees, ragweed, plantain, sorrel, wasp, and Yellowjacket’. Also heat and strong smells will trigger me. I try to follow a gluten free diet but that is easier said than done. It’s so hard when they say to avoid your allergens and everyone you know has at least 1 pet. I don’t just sneeze anymore-wish that is all that I do. I failed to mention that my dr did genetic testing on me and I also have a NLRP 12 deficiency so I have all 4 of these disorders working at the same time. During a large reaction I feel dizzy, headache, tachycardia, stomachache with diarrhea, flushing of face and chest, sweating, brain fog, muscle cramps. Then if you add the small fiber neuropathy on top of it I experience skin burning, itching, and pin pricks. Like I said daily to some extent. Xolair was always my go to med but I did try tezspire(sp) that seemed to be stronger. Had to get off it because of side effects. There is a new med that the FDA approved that my Dr wants me to try. It’s all about try and error.

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Profile picture for nurse1963 @nurse1963

Yeah live in a bubble lol! I am allergic to cat, dog, dust, mite, mold, grass, trees, ragweed, plantain, sorrel, wasp, and Yellowjacket’. Also heat and strong smells will trigger me. I try to follow a gluten free diet but that is easier said than done. It’s so hard when they say to avoid your allergens and everyone you know has at least 1 pet. I don’t just sneeze anymore-wish that is all that I do. I failed to mention that my dr did genetic testing on me and I also have a NLRP 12 deficiency so I have all 4 of these disorders working at the same time. During a large reaction I feel dizzy, headache, tachycardia, stomachache with diarrhea, flushing of face and chest, sweating, brain fog, muscle cramps. Then if you add the small fiber neuropathy on top of it I experience skin burning, itching, and pin pricks. Like I said daily to some extent. Xolair was always my go to med but I did try tezspire(sp) that seemed to be stronger. Had to get off it because of side effects. There is a new med that the FDA approved that my Dr wants me to try. It’s all about try and error.

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@nurse1963
Yeah, I feel you! Add daily crippling pain foot to shoulder and you have got me! Except that I have histaminose without being allergic. So weird!

Hope you find proper meds soon!

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Yes, I feel there is but finding a doctor who understands the connection is a problem. There are mast cell facebook pages for many states and general ones. I would suggest going there.

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Profile picture for nurse1963 @nurse1963

Yeah live in a bubble lol! I am allergic to cat, dog, dust, mite, mold, grass, trees, ragweed, plantain, sorrel, wasp, and Yellowjacket’. Also heat and strong smells will trigger me. I try to follow a gluten free diet but that is easier said than done. It’s so hard when they say to avoid your allergens and everyone you know has at least 1 pet. I don’t just sneeze anymore-wish that is all that I do. I failed to mention that my dr did genetic testing on me and I also have a NLRP 12 deficiency so I have all 4 of these disorders working at the same time. During a large reaction I feel dizzy, headache, tachycardia, stomachache with diarrhea, flushing of face and chest, sweating, brain fog, muscle cramps. Then if you add the small fiber neuropathy on top of it I experience skin burning, itching, and pin pricks. Like I said daily to some extent. Xolair was always my go to med but I did try tezspire(sp) that seemed to be stronger. Had to get off it because of side effects. There is a new med that the FDA approved that my Dr wants me to try. It’s all about try and error.

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@nurse1963 See my comment below about mast cell facebook pages. Yes did these problems run in family on motber's side?

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Profile picture for lewin @lewin

Yes, I feel there is but finding a doctor who understands the connection is a problem. There are mast cell facebook pages for many states and general ones. I would suggest going there.

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I see an allergist/immunologist and he is wonderful. I’ve been to Philly a few times to see a hematologist and an allergist. Then I saw Dr Maryanna Castells in Brigham and Women’s hospital in Boston who diagnosed me with the mcas. Funny thing is my present Dr was just 45 minutes away from where I live.

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Profile picture for lewin @lewin

@nurse1963 See my comment below about mast cell facebook pages. Yes did these problems run in family on motber's side?

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OMG yes! Both my mother and my son have the hereditary alpha tryptasemia syndrome. My mother has no allergies but my son was on allergy shots for 5 years because he also has multiple allergies. We all have the same problem but we have different symptoms.

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