PMID- 18528638 OWN - NLM STAT- MEDLINE DCOM- 20100105 LR - 20211020 IS - 1573-2630 (Electronic) IS - 0165-5701 (Linking) VI - 29 IP - 5 DP - 2009 Oct TI - Recurrent giant chalazia in hyperimmunoglobulin E (Job's) syndrome. PG - 415-7 LID - 10.1007/s10792-008-9238-y [doi] AB - Hyperimmunoglobulinemia E (Job's) syndrome is a rare autosomal dominant disorder appearing early in life with recurrent skin and pulmonary infections, characterized by markedly increased serum immunoglobulin E (IgE) levels. We describe a 50-year-old man with a 4-year history of recurrent, multiple giant chalazia in all eyelids. Medications and surgical intervention had produced only transient improvement. The patient had also had pulmonary and scalp infection. Laboratory tests disclosed elevated serum IgE (>1,000 IU/ml) and eosinophilia. As a result, based on the patient's history and clinical and laboratory findings, a diagnosis of Job's syndrome was made. Even though rarely, recurrent multiple giant chalazia may occur as an ophthalmic feature of Job's syndrome. Hyperimmunoglobulinemia E syndrome should be suspected in any case of recurrent giant chalazia, regardless of the patient's age. Measurement of serum IgE and eosinophils, along with internal evaluation, is essential to establish a proper diagnosis. FAU - Patteri, Pierpaolo AU - Patteri P AD - Department of Ophthalmology, San Francesco Hospital, Nuoro, Italy. FAU - Serru, Alain AU - Serru A FAU - Chessa, Maria Letizia AU - Chessa ML FAU - Loi, Michele AU - Loi M FAU - Pinna, Antonio AU - Pinna A LA - eng PT - Case Reports PT - Journal Article DEP - 20080605 PL - Netherlands TA - Int Ophthalmol JT - International ophthalmology JID - 7904294 RN - 0 (Anti-Bacterial Agents) RN - 0 (Glucocorticoids) RN - 0 (Ointments) RN - 7S5I7G3JQL (Dexamethasone) RN - N12000U13O (Doxycycline) RN - VZ8RRZ51VK (Tobramycin) SB - IM MH - Administration, Oral MH - Anti-Bacterial Agents/administration & dosage MH - Chalazion/*complications/drug therapy/*pathology/surgery MH - Curettage MH - Dexamethasone/administration & dosage MH - Doxycycline/administration & dosage MH - Drug Therapy, Combination MH - Glucocorticoids/administration & dosage MH - Humans MH - Job Syndrome/*complications MH - Male MH - Middle Aged MH - Ointments MH - Postoperative Care MH - Recurrence MH - Tobramycin/administration & dosage EDAT- 2008/06/06 09:00 MHDA- 2010/01/06 06:00 CRDT- 2008/06/06 09:00 PHST- 2008/01/29 00:00 [received] PHST- 2008/05/19 00:00 [accepted] PHST- 2008/06/06 09:00 [pubmed] PHST- 2010/01/06 06:00 [medline] PHST- 2008/06/06 09:00 [entrez] AID - 10.1007/s10792-008-9238-y [doi] PST - ppublish SO - Int Ophthalmol. 2009 Oct;29(5):415-7. doi: 10.1007/s10792-008-9238-y. Epub 2008 Jun 5.