Mast Cell Activation Syndrome (MCAS) is an immunological condition in which mast cells inappropriately and excessively release chemical mediators, resulting in a range of chronic symptoms, sometimes including anaphylaxis or near-anaphylaxis attacks. These symptoms can affect various systems in the body, such as cardiovascular, dermatological, and gastrointestinal systems. Mast cells, which are part of the immune system, release an inappropriate amount of chemicals, causing allergy symptoms and a wide range of other symptoms. MCAS can be triggered by various factors, including infections, medications, insect venom, stress, exercise, and food. The condition is often managed with medications such as antihistamines and other drugs that block the release of these chemicals. MCAS is a relatively unknown condition and is part of a spectrum of mast cell disorders, which also include mastocytosis and hereditary alpha tryptasemia. Common comorbidities include connective tissue disorders and dysautonomia, although the relationship between MCAS and many of these comorbidities is not fully understood and requires more research