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AN INNOVATIVE TREATMENT APPROACH TO HEREDITARY ALPHA-TRYPTASEMIA AND INTERSTITIAL CYSTITIS (Monitor 2) - Nov 9, 2019 - Abstract #ACAAI2019ACAAI_825; Pharmacotherapy, including omeprazole, hyoscyamine, cromolyn, methimazole, propranolol, sumatriptan, fexofenadine and oral prednisone incompletely improved her symptoms; she still had persistent abdominal cramping, dyspepsia, tachycardia, fatigue and headaches...She began bladder instillations for IC with heparin, lidocaine, sodium bicarbonate and sterile water, which improved her urinary symptoms and her headaches, abdominal cramping, fatigue, palpitations and exercise tolerance...β-tryptase is encoded by both TPSAB1 and TPSB2, while α-tryptase is only encoded by TPSAB1. Normally, α- and β-tryptase gene copies should add up to four; HAT occurs when there is an α-tryptase duplication and the summation of α-tryptase + β-tryptase is > 5.
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