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The most common symptoms of MCAS include: Feeling as though you have been sick forever Allergic reactions and asthma Overreaction to insect bites, bee stings and chemical intolerances Facial and chest flushing Skin rashes that come and go, including hives and angioedema Itchiness and a burning feeling Brain fog and headaches Poor wound healing and easy bruising Waxing and waning of symptoms The condition may be mild in some people and only exacerbate in response to a significant life stressor, which may be either physical or psychological in nature (divorce, bankruptcy, loss of job, travel, infection, death of a loved one, exposure to novel infections, occupying a water damaged building, exposure to cold or heat)