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dermatographism, skin welps and itchy skin

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I have dermatographism and have had for 19 years? I semi control it with antihistimines (Zyrtec at present). Does anyone out there know what causes this? My endocrinologist said that sometimes it's caused by mast cell tumors, but since I've had it for so long without any other alarming symptoms, he does not suspect mast cell tumor in my case. Does anybody else have this?

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