Episodic angioedema associated with eosinophilia



Título del documento: Episodic angioedema associated with eosinophilia
Revista: Anais brasileiros de dermatologia
Base de datos: PERIÓDICA
Número de sistema: 000410451
ISSN: 0365-0596
Autors: 1
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1
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1
Institucions: 1Nanjing University, School of Medicine, Nanjing, Jiangsu. China
Any:
Període: Jul-Ago
Volum: 92
Número: 4
Paginació: 535-537
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, descriptivo
Resumen en inglés We report a 12-year-old girl who presented with recurrent angioedema on the face, trunk, and extremities, and concomitant marked weight gain for 5 years. During the episode, her white blood cell count increased to 47.7×109/L with 89.9% eosinophils, followed by elevated serum level of IL-5, IgE, IgM, and LDH. Histopathology showed perivascular eosinophilic infiltration and diffuse eosinophilic infiltration throughout the dermis. Possible causes of hypereosinophilia and eosinophilic infiltration of vital organs were ruled out. We also tested the FIP1L1/PDGFRa and ETV6/PDGFRb fusion gene to exclude the possibility of myeloid and lymphatic vessel neoplasms. The patient was treated with methylprednisolone and discharged with an oral prednisolone taper, which resulted in complete remission of the edema and normalization of peripheral blood eosinophil count, serum IL-5 level, IgE, IgM, and LDH
Disciplines Medicina
Paraules clau: Dermatología,
Eosinofilia,
Angioedema,
Interleucina-5
Keyword: Medicine,
Dermatology,
Eosinophilia,
Angioedema,
Interleukin-5
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