Home About us Contact
|
Home About us Contact | ||
|
|
||
Peripheral Blood Eosinophilia (peripheral + blood_eosinophilia)
Selected AbstractsGnathostomiasis: Import from LaosJOURNAL DER DEUTSCHEN DERMATOLOGISCHEN GESELLSCHAFT, Issue 5 2006Felix Hennies Creeping eruption; Gnathostomiasis; Wangenschwellung Summary Gnathostomiasis is a nematode infestation endemic in Southeast Asia, which can involve multiple organs including the liver, eyes, gastrointestinal tract and CNS. The most common manifestation is recurrent migratory subcutaneous swellings which can appear anywhere on the body and are accompanied by pruritus and systemic symptoms such as low-grade fever, loss of appetite and nausea. The diagnosis is based on the clinical picture, history of travel, peripheral blood eosinophilia and the determination of agent-specific antibody levels. The standard treatment is albendazole. We present a 37-year-old Laotian woman, who had lived in Germany for 17 years, but developed recurrent swelling of the cheek following a visit to Laos. Because of the typical clinical findings, the history of a visit to Laos, and the presence of specific anti- Gnathostoma antibodies on Western blot, the diagnosis of cutaneous gnathostomiasis was made. Zusammenfassung Die Gnathostomiasis ist eine hauptsächlich in Südost-Asien endemisch vorkommende Nematodenerkrankung, die zu einem Befall multipler Organe wie Leber, Auge, Gastrointestinaltrakt und zentralem Nervensystem führen kann. Am häufigsten kommt es jedoch zu rezidivierenden, wandernden, subkutanen Schwellungen, die am gesamten Körper auftreten können und häufig von Juckreiz und Allgemeinsymptomen wie leichtem Fieber, Appetitlosigkeit und Übelkeit begleitet werden. Die Diagnose wird anhand des klinischen Bildes, der Reiseanamnese, einer Bluteosinophilie sowie der Bestimmung Erreger-spezifischer Antikörper gestellt. Als medikamentöse Therapie hat sich das Anthelminthikum Albendazol bewährt. Vorgestellt wird eine 37-jährige, seit 17 Jahren in Deutschland lebende Patientin aus Laos, die seit einem Jahr nach Rückkehr von einem Besuch in ihrer alten Heimat unter rezidivierenden Wangenschwellungen litt. Anhand der typischen Klinik, der positiven Reiseanamnese sowie des Nachweises spezifischer Anti- Gnathostoma -Antikörper im Western-Blot wurde die Diagnose einer kutanen Gnathostomiasis gestellt. [source] Infection of mice with the helminth Strongyloides stercoralis suppresses pulmonary allergic responses to ovalbuminCLINICAL & EXPERIMENTAL ALLERGY, Issue 3 2001Chun-Chi Wang Asthma and helminth infections induce similar immune responses characterized by the presence of peripheral blood eosinophilia and elevated serum IgE levels. Epidemiological surveys have reported either increases or decreases in the development of atopic diseases and asthma based on the prevalence of helminth infections in the population. The aim of this study was to determine if a pre-existing helminth infection would increase or decrease subsequent allergic responses to an unrelated allergen in the lungs. BALB/cByJ mice were infected with the nematode parasite Strongyloides stercoralis prior to ovalbumin (OVA) immunization and intratracheal challenge. Bronchoalveolar lavage (BAL) and fluid (BALF) were collected 3 days post-challenge and cellular and humoral immune responses were measured. Intracellular cytokine staining revealed increased IL-4 and IL-5 producing cells in BAL from mice infected with S. stercoralis before OVA sensitization. Increased IL-5 protein levels and decreased IFN-, protein levels were also observed in the BALF. There was, however, no increase in airway eosinophil accumulation in mice infectd with parasites before sensitization with OVA as compared to mice exposed to OVA alone. Furthermore, eotaxin levels in the lungs induced by OVA was suppressed in mice infected with the parasite before OVA sensitization. The development of OVA specific IgE responses in BALF was also impaired in mice infected with the parasite before sensitization with OVA. These results suggest that a pre-existing helminth infection may potentiate a systemic Type 2-type response yet simultaneously suppress in the lungs allergen-specific IgE responses and eotaxin levels in response to subsequent exposure to allergens. [source] Persistent urticaria characterized by recurrent lasting urticarial erythema with histological features of prominent perivascular eosinophilic infiltrationCLINICAL & EXPERIMENTAL DERMATOLOGY, Issue 5 2009H. Amano Summary We report a 29-year-old woman with a 15-year history of recurrent pruritic urticarial erythemas. The individual lesions lasted for > 24 h, and antihistaminic agents were not effective. Histological examination of a skin biopsy revealed interstitial oedema of the dermis and perivascular infiltration of numerous eosinophils without vasculitis. No internal organ involvement or peripheral blood eosinophilia was present. A diagnosis of persistent urticaria was made and the patient was successfully treated with oral corticosteroid therapy. Persistent urticaria has been described as an unusual reaction that lasts longer than typical urticaria. It is effectively treated with corticosteroids, but not with antihistaminic agents. In order to choose the most effective treatment, persistent urticaria should be recognized as a different clinical condition from typical urticaria. [source] Hypereosinophilic syndrome with various skin lesions and juvenile temporal arteritisCLINICAL & EXPERIMENTAL DERMATOLOGY, Issue 5 2009K. Ito Summary Hypereosinophilic syndrome (HES) is a multisystem disease with a high mortality rate. It is characterized by peripheral blood eosinophilia and eosinophilic infiltration of the skin and many other organs. The commonest cutaneous features include erythematous pruritic maculopapules and nodules, angio-oedema or urticarial plaques. However, some case reports have indicated that eosinophilic cellulitis, cutaneous necrotizing eosinophilic vasculitis, Raynaud's phenomenon and digital gangrene may also occur as cutaneous features of HES. Juvenile temporal arteritis (JTA) of unknown cause is characterized by an asymptomatic nodule in the temporal artery area in young adults. Histologically, the lesion is characterized by a significant intimal thickening with moderate eosinophilic infiltrates, constriction or occlusion of the vascular lumen and absence of giant cells. We report a patient with HES presenting with eosinophilic cellulitis, Raynaud's phenomenon, digital gangrene and JTA. JTA may also be one of the features of HES. [source] | ||||||||||