PMID- 35282056 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220315 IS - 2305-5839 (Print) IS - 2305-5847 (Electronic) IS - 2305-5839 (Linking) VI - 10 IP - 2 DP - 2022 Jan TI - Eosinophils and associated parameters in different types of skin diseases related to elevated eosinophil levels. PG - 73 LID - 10.21037/atm-22-99 [doi] LID - 73 AB - BACKGROUND: Eosinophils, basophils, white blood cells (WBC), and immunoglobulin E (IgE) play major roles in the pathogenesis of atopic dermatitis (AD), bullous pemphigoid (BP), drug reaction with eosinophilia and systemic symptoms (DRESS), and hypereosinophilic syndrome (HES). This study aimed to describe these parameters in different skin diseases and provide further information concerning the underlying pathogenesis. METHODS: A cross-sectional study of blood test results, including WBC count, peripheral eosinophil count, peripheral basophil/WBC percentage, and IgE level, from 115 cases of AD, 75 cases of BP, 55 cases of DRESS, 119 cases of HES, and 621 healthy volunteers was performed in China. Data from before and after treatment and the population distribution of different diseases were compared and described. RESULTS: All participants showed increased peripheral eosinophil counts, eosinophil/WBC ratios, IgE levels, and decreased peripheral basophil counts, with variance among the different disease groups. Peripheral eosinophil counts in HES patients and IgE level in AD patients increased the most prominently. No significant correlation existed among eosinophils, basophils, and IgE. An obvious decrease in eosinophil count was demonstrated after treatment in all 4 diseases. CONCLUSIONS: Eosinophils, basophils, and IgE exert functions in diverse skin diseases, presenting altered peripheral blood test results. In some cases, these changes are demonstrated only in the skin and not in the blood. Compared with the other parameters considered in this study, eosinophils seemed to be a better biomarker for treatment effects, regardless of the disease type. CI - 2022 Annals of Translational Medicine. All rights reserved. FAU - Wu, Tong AU - Wu T AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China. FAU - Tang, Luyan AU - Tang L AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China. FAU - Feng, Yang AU - Feng Y AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China. FAU - Jia, Yanjing AU - Jia Y AD - Department of Nursing, Huashan Hospital, Fudan University, Shanghai, China. FAU - Li, Fei AU - Li F AD - Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China. AD - Department of Dermatology, Huashan Hospital Baoshan, Fudan University, Shanghai, China. LA - eng PT - Journal Article PL - China TA - Ann Transl Med JT - Annals of translational medicine JID - 101617978 PMC - PMC8848371 OTO - NOTNLM OT - Basophils OT - atopic dermatitis (AD) OT - eosinophils OT - immunoglobulin E (IgE) OT - pemphigoid bullous COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://atm.amegroups.com/article/view/10.21037/atm-22-99/coif). The authors have no conflicts of interest to declare. EDAT- 2022/03/15 06:00 MHDA- 2022/03/15 06:01 PMCR- 2022/01/01 CRDT- 2022/03/14 05:30 PHST- 2021/11/18 00:00 [received] PHST- 2022/01/14 00:00 [accepted] PHST- 2022/03/14 05:30 [entrez] PHST- 2022/03/15 06:00 [pubmed] PHST- 2022/03/15 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - atm-10-02-73 [pii] AID - 10.21037/atm-22-99 [doi] PST - ppublish SO - Ann Transl Med. 2022 Jan;10(2):73. doi: 10.21037/atm-22-99.