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Table 8.1

Triggers of Mast Cell Degranulation

Exercise
Changes in temperature—cold exposure or hot baths
Emotional stress
Medications: aspirin, opiates (morphine, codeine), dextromethorphan, NSAIDs, topical polymyxin B
General anesthesia agents: d-tubocurarine, scopolamine, pancuronium
Iodine-containing contrast media
Foods: egg white, seafood, chocolate, strawberries, tomatoes, citrus, and ethanol