Cutaneous Diseases with Eosinophilia

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1 CHINESE JOURNAL OF ALLERGY & CLINICAL IMMUNOLOGY # R751 A Cutaneous Diseases with Eosinophilia DENG Xiao-rong ZHONG Hua SONG Zhi-qiang HAO Fei # Department of Dermatology Southwest Hospital Third Military Medical University Chongqing China Eosinophil is one kind of multifunctional leukocyte that play vital role in infection non-specific tissue injury allergic disease and malignancy. It can be involved in the initiation and progress of diverse inflammatory responses. The clinical manifestation pathogenesis etiology and therapy of cutaneous diseases with eosinophilia was summarized in this review. Key words eosinophils atopic dermatitis drug rush bullous pemphigoid Chin J Allergy Clin Immunol eosinophils DNA 1% ~ 3% L interleukin IL -4 IL-5 IL-10 IL ~ L 1. 5 ~ L transforming growth factor TGF -α TGF-β > L 1 3 A B 2 Th # haofei62@ medmail. com 79

2 DRESS Wells atopic dermatitis AD AD hypereosinophilic dermatitis HED T IL-3 IL-5 major basic protein MBP granulocyte-macrophage colony-stimulating factor GM- eosinophilic cationic protein CSF ECP AD IL-5 11 MBP ECP 4 5 AD IL-5 AD IL-5 AD 1 MBP 6 AD IL-5 7 IL-3 GM-CSF 12 AD 8 IL-5 AD 10 AD bullous pemphigoid BP 9 drug reaction with eosinophilia and systemic symptoms DRESS BP180 BP230 B T IL-5 IL-5 BP 14 DRESS ECP MBP 10% DRESS 13 BP dermatitis herpetiformis DH 80 March 2013

3 22 eosinophilic pustular folliculitis EPF IgA TG2 TG3 15 TG2 DH gluten-free diet GFD EPF 23 Wells human immunodeficiency virus HIV Wells EPF 27 Wells HES AD herpes simplex virus HSV HED AD Wells Wells TNF-α Wells hypereosinophilic syndrome EPF HES 37% HES 16 IL-5 HES IL-5 T IL-5 HES 17 T T Treg HED HES HES 81

4 pattern of eosinophil and neutrophil degranulation after allergen challenge J. Clin Mol Allergy Rothenberg ME. eosinophilia J. N Engl Med M Rothenberg ME Hogan SP. The Eosinophil J. Annu Rev Immunol Gauvreau GM Ellis AK Denburg JA et al. Haemopoietic processes in allergic disease eosinophil basophil development J. Clin Exp Allergy Choi KD Vodyanik M Slukvin II et al. Hwmatopoietic differentiation and production of mature myeloid cells from human pluripotent stem cells J. Nat Protoc Yawalkar N Shrikhande M Pichler WJ. Evidence for a role for IL-5 and eotaxin in activating and recruiting eosinophils in drug-induced cutaneous eruptions J. J Allergy Clin Immunol De J Brown RE. Tissue-microarray based immunohistochemical analysis of survival pathways in nodular sclerosing classical Hodgkin lymphoma as compared with Non-Hodgkin s lymphoma J. Int J Clin Exp Med Vassina EM Yousefi S Simon D et al. ciap-2 and survivin contribute to cytokine-mediated delayed eosinophil apoptosis J. Eur J Immunol Moossavi M Mehregan DR. Wells syndrome a clinical and histopathologic review of seven cases J. Int J Dermatol Simon D Wardlaw A Rothenberg ME. Organ-specific eosinophilic disorders of the skin lung and gastrointestinal tract J. J Allergy Clin Immunol Munthe-Kaas MC Gerritsen J Carlsen KH et al. Carlsen. Eosinophil cationic protein ECP polymorphisms and association with asthma s-ecp levels and related phenotypes J. Allergy K mpe M Stolt I Lampinen M et al. Patients with allergic rhinitis and allergic asthma share the same 13 Heimbach L Li N Diaz A et al. Experimental animal models of bullous pemphigoid J. G Ital Dermatol Venereol Simon D Simon HU. Eosinophilic disorders J. J Allergy Clin Immunol Jaskowski TD Hamblin T Wilson AR et al. IgA antiepidermal transglutaminase antibodies in dermatitis herpetiformis and pediatric celiac disease J. J Invest Dermatol Ogbogu PU Bochner BS Kahn JE et al. Hypereosinophilic syndrome a multicenter retrospective analysis of clinical characteristics and response to therapy J. J Allergy Clin Immunol Mehr S Rego S Kakakios A et al. Treatment of a case of pediatric hypereosinophilic syndrome with antiinterleukin-5 J. J Pediatr Simon HU Plotz SG Dummer R et al. Abnormal clones of T cells producing interleukin-5 in idiopathic eosinophilia J. N Engl J Med Tomy Martin. 1 J J J J Nervi SJ Schwartz RA Dmochowski M. Eosinophilic pustular folliculitis a 40 year retrospect J. J Am Acad Dermatol Springinsfeld G Roth B Martinot M et al. Immune reconstitution inflammatory syndrome associated with eosinophilic pustular folliculitis in an HIV-infected patient J. Med Mal Infect Ogawa E Okuyama R Niizuma H et al. Eosinophilic pustular folliculitis occurring after bone marrow transplantation in a child with aplastic anaemia J. Acta Derm Venereol Evans TR Mansi JL Bull R et al. Eosinophilic folliculitis occurring after bone marrow autograft in a 82 March 2013

5 patient with non-hodgkin s lymphoma J. Cancer Shindo M Nakashima K Yoshida Y et al. Trichophyton rubrum infection histologically identical to eosinophilic pustular folliculitis J. Clin Exp Dermatol Tsurikisawa N Saito H Oshikata C et al. High-dose intravenous immunoglobulin treatment increases regulatory T cells in patients with eosinophilic granulomatosis with polyangiitis J. J Rheumatol

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