Mastocytosis and Anaphylaxis.

This article updates current knowledge on epidemiology, risk factors, triggers, and management of anaphylaxis in patients with mastocytosis. Hyperactive mast cells and higher number of effector mast cells are speculated to facilitate anaphylaxis in this condition. In children, increased risk is limited to those with extensive skin involvement and high tryptase. In adults, manifestations of anaphylaxis are severe with high frequency of cardiovascular symptoms. Hymenoptera stings are the most common triggers for these reactions; however, idiopathic anaphylaxis and reactions to food or drugs occur. Patients with mastocytosis should be informed about risk of anaphylaxis and prescribing emergency self-medication and installing emergency preparedness before general anesthesia is considered.

Production of W/O/W (water-in-oil-in-water) multiple emulsions: droplet breakup and release of water.

We investigate breakup of W/O/W double emulsion droplets at high viscosity ratios and coalescence of inner water droplets dependent on the dispersed phase content (DPC) of the inner emulsion. The rheological analyses of the inner emulsions confirm the behavior expected from literature - increasing viscosity with increasing DPC and elastic behavior for high DPC. The resulting droplet sizes seem to be influenced only by the viscosity ratio calculated using the viscosity of the inner emulsion. An influence of the elastic properties of the inner emulsions could not be observed. Moreover, breakup of double emulsion droplets seems to follow the same rules as breakup of Newtonian droplets. In the second part of the paper we focus on the release of water from double emulsions by coalescence. A direct correlation between resulting double emulsion droplet sizes and encapsulation efficiency was found for each system. The initial inner dispersed phase content has a big influence on the release rate. This can partly be explained by the influence of the dispersed phase content on collision rate. Moreover, it was found that for high internal phase concentrations inner droplets coalesce with each other. The so formed bigger inner droplets seem to increase the overall release rate.