“…38 Conversely, mast cells are able to convert prothrombin to thrombin by the release of tryptase. 39 Interestingly, it has been shown that in C1-inhibitor deficiency, both hereditary and acquired, acute attacks are associated with the generation of thrombin. 25 Further, heparin has been shown to inhibit the whealand-flare reaction on ASST 10,22 ; heparin is an activator of antithrombin-III, a plasma protein that binds irreversibly to some serine protease enzymes (factors XIa, IXa, Xa, VIIa, and thrombin) and blocks their activity.…”