Inflammation · µg/L

Tryptase (baseline)

Tryptase is an enzyme stored by mast cells (cells central to allergic reactions). Baseline (resting) serum tryptase reflects the total mast cell load in your body.

Ranges we useWHO / ICC / ECNM / AIM
RatingRangeWhat it means
Goodbelow 11.4 µg/LBaseline tryptase within range.
Worth improving11.4 – 20 µg/LMildly elevated — often hereditary (hereditary alpha-tryptasemia); monitor as appropriate.
Talk to a doctor20 µg/L and aboveElevated — further evaluation is warranted (mastocytosis/mast cell activation); seek advice.
Source: WHO / ICC / ECNM / AIM · 2023 · open

Why it matters

An elevated baseline value points toward mastocytosis or hereditary alpha-tryptasemia.

If it’s low

Low tryptase is of no clinical significance.

If it’s high

A persistently elevated baseline tryptase can be hereditary (common hereditary alpha-tryptasemia — harmless) or a sign of mastocytosis; kidney damage and some blood disorders also raise it. A consultation is needed to clarify.

What to do

A basally elevated value should be evaluated by a physician (allergist/hematologist) — it is often a harmless hereditary variant, but sometimes further work-up is needed. If you have had a severe allergic reaction, it is useful to measure tryptase both in the hours after the event and then at baseline.

Read together with

IgE (total) · Eosinophils (abs.)

Articles about this marker

This content is for information only and is not a substitute for medical advice. Talk to your doctor about your results.

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