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小儿高免疫球蛋白E综合征的皮肤表现

Dermatologic presentations of hyper IgE syndrome in pediatric patients.

作者信息

Mahjoubi Mohammad, Rashedi Ronak, Samieefar Noosha, Abdollahimajd Fahimeh, Rezaei Nima

机构信息

Network of Interdisciplinarity in Neonates and Infants (NINI), Universal Scientific Education and Research Network (USERN), Tehran, Iran.

Clinical Research Development Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

出版信息

Allergy Asthma Clin Immunol. 2025 May 2;21(1):20. doi: 10.1186/s13223-025-00963-6.

Abstract

BACKGROUND

Hyper-IgE Syndrome, also known as Job's syndrome, is a rare primary immunodeficiency disorder characterized by recurrent infections and elevated levels of immunoglobulin E. While respiratory and systemic manifestations have been more emphasized, dermatological manifestations in Hyper-IgE Syndrome also play a significant role in disease presentation.

METHODS

This narrative review explores the dermatologic presentations of Hyper-IgE Syndrome in pediatric populations, including descriptions, associated symptoms/findings, and available treatment options.

RESULTS AND CONCLUSION

Neonatal rash, mucocutaneous candidiasis, noma neonatorum, psoriasis, cold staphylococcal abscesses, and candida onychomycosis are among the dermatological manifestations of Hyper-IgE Syndrome. Each manifestation has unique characteristics and treatment considerations, necessitating accurate recognition and diagnosis for effective management. Optimal treatment strategies involve a combination of supportive care, topical/systemic therapies, antifungal medications, and surgical interventions when necessary. Further research is needed to enhance our understanding of these manifestations and evaluate treatment modalities for individuals affected by Hyper-IgE Syndrome.

摘要

背景

高免疫球蛋白E综合征,也称为乔布综合征,是一种罕见的原发性免疫缺陷疾病,其特征为反复感染和免疫球蛋白E水平升高。虽然呼吸和全身表现受到更多关注,但高免疫球蛋白E综合征的皮肤表现在疾病呈现中也起着重要作用。

方法

本叙述性综述探讨了儿科人群中高免疫球蛋白E综合征的皮肤表现,包括描述、相关症状/发现以及可用的治疗选择。

结果与结论

新生儿皮疹、皮肤黏膜念珠菌病、新生儿坏疽性口炎、银屑病、冷性葡萄球菌脓肿和念珠菌性甲癣是高免疫球蛋白E综合征的皮肤表现。每种表现都有独特的特征和治疗考虑因素,为有效管理需要准确识别和诊断。最佳治疗策略包括支持性护理、局部/全身治疗、抗真菌药物以及必要时的手术干预相结合。需要进一步研究以加深我们对这些表现的理解,并评估受高免疫球蛋白E综合征影响个体的治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edd2/12049024/744ad14c04cb/13223_2025_963_Fig1_HTML.jpg

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