PMID- 15181495 OWN - NLM STAT- MEDLINE DCOM- 20041203 LR - 20150901 IS - 1684-1182 (Print) IS - 1684-1182 (Linking) VI - 37 IP - 2 DP - 2004 Apr TI - The hyperimmunoglobulin E syndrome. PG - 121-3 AB - Hyperimmunoglobulin E syndrome is a primary immunodeficiency disease characterized by markedly high titers of serum immunoglobulin E (IgE), chronic eczema, recurrent staphylococcal infections, pneumatoceles, reduced neutrophil chemotaxis, and variable impaired T cell function. There are no clinical tools for diagnosis and definitive laboratory investigation. Variability of presentation makes it easy to confuse the diagnosis with that of severe atopy or other rare immunodeficiencies. We report a case of a 6-year-old boy with hyperimmunoglobulin E syndrome with recurrent methicillin-resistant Staphylococcus aureus furunculosis. Physical examination revealed a peculiar facial appearance, pruritic dermatitis, and furunculosis over the scalp, neck, and back. Laboratory investigation revealed mild leukocytosis with eosinophilia, a very high immunoglobulin E level, defective neutrophil chemotaxis, and impaired lymphocyte proliferation to anti-CD3/CD28 monoclonal antibodies. The boy was discharged without incident after 2 weeks of antibiotic therapy and debridement. FAU - Hsu, Chen-Tong AU - Hsu CT AD - Department of Pediatrics, Yung Ho Branch, Cardinal Tien Hospital, Taipei, Taiwan, ROC. FAU - Lin, Yu-Tsan AU - Lin YT FAU - Yang, Yao-Hsu AU - Yang YH FAU - Chiang, Bor-Luen AU - Chiang BL LA - eng PT - Case Reports PT - Journal Article PL - England TA - J Microbiol Immunol Infect JT - Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi JID - 100956211 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Chemotaxis, Leukocyte MH - Child MH - Drug Resistance, Bacterial MH - Eosinophilia MH - Face MH - *Furunculosis/drug therapy/microbiology/surgery MH - Humans MH - Immunoglobulin E/blood MH - *Job Syndrome/blood/diagnosis/immunology MH - Leukocytosis MH - Lymphocyte Activation MH - Male MH - Methicillin Resistance MH - Neck/pathology MH - Scalp/pathology MH - Staphylococcus aureus/*drug effects/isolation & purification EDAT- 2004/06/08 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/06/08 05:00 PHST- 2004/06/08 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/06/08 05:00 [entrez] PST - ppublish SO - J Microbiol Immunol Infect. 2004 Apr;37(2):121-3.