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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/4631427","sourcedb":"PMC","sourceid":"4631427","source_url":"https://www.ncbi.nlm.nih.gov/pmc/4631427","text":"To verify acute anaphylaxis triggered by nuts or other foods, serum total tryptase level can be utilized, though may be less sensitive than in cases of drug or hymenoptera-induced anaphylaxis.35 Tryptase is abundant in mast cell secretory granules and the levels immediately increase, peaking ~1–2 hours after onset of symptoms. Importance of obtaining a timely sample makes clinical utilization difficult. Ideally, a serum tryptase level should be obtained within 3 hours of symptom onset, as levels return to baseline within 24 hours of symptom resolution.36 In cases of food-induced anaphylaxis, however, often serum tryptase is not elevated, even when sent within an appropriate time frame. This may be due to the activity of mucosal mast cells and basophils involved in food-induced anaphylaxis, which contain less tryptase compared with cutaneous mast cells that are more frequently activated in other causes of anaphylaxis, such as drugs or hymenoptera.35,37–39","tracks":[{"project":"TEST0","denotations":[{"id":"26604803-192-198-1382650","span":{"begin":192,"end":194},"obj":"[\"24991453\"]"},{"id":"26604803-229-235-1382651","span":{"begin":558,"end":560},"obj":"[\"17602945\"]"},{"id":"26604803-233-239-1382652","span":{"begin":960,"end":962},"obj":"[\"24991453\"]"},{"id":"26604803-236-242-1382653","span":{"begin":963,"end":965},"obj":"[\"6204202\", \"1294076\", \"3549903\"]"}],"attributes":[{"subj":"26604803-192-198-1382650","pred":"source","obj":"TEST0"},{"subj":"26604803-229-235-1382651","pred":"source","obj":"TEST0"},{"subj":"26604803-233-239-1382652","pred":"source","obj":"TEST0"},{"subj":"26604803-236-242-1382653","pred":"source","obj":"TEST0"}]},{"project":"2_test","denotations":[{"id":"26604803-24991453-55579345","span":{"begin":192,"end":194},"obj":"24991453"},{"id":"26604803-17602945-55579346","span":{"begin":558,"end":560},"obj":"17602945"},{"id":"26604803-24991453-55579347","span":{"begin":960,"end":962},"obj":"24991453"},{"id":"26604803-6204202-55579348","span":{"begin":963,"end":965},"obj":"6204202"},{"id":"26604803-1294076-55579348","span":{"begin":963,"end":965},"obj":"1294076"},{"id":"26604803-3549903-55579348","span":{"begin":963,"end":965},"obj":"3549903"}],"attributes":[{"subj":"26604803-24991453-55579345","pred":"source","obj":"2_test"},{"subj":"26604803-17602945-55579346","pred":"source","obj":"2_test"},{"subj":"26604803-24991453-55579347","pred":"source","obj":"2_test"},{"subj":"26604803-6204202-55579348","pred":"source","obj":"2_test"},{"subj":"26604803-1294076-55579348","pred":"source","obj":"2_test"},{"subj":"26604803-3549903-55579348","pred":"source","obj":"2_test"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"TEST0","color":"#9893ec","default":true},{"id":"2_test","color":"#a8ec93"}]}]}}