Hyperimmunoglobulin E syndrome: A case report

AbstractIntroduction: Hyperimmunoglobulin E or Job’s syndrome is a rare congenital immune system disorder characterized by the classic triad of high serum IgE levels, severe eczematous dermatitis, and recurrent skin and lung infections. Most cases are autosomal dominant forms, but both autosomal rec...

Full description

Bibliographic Details
Main Authors: Samaneh Badakhsh, Somayeh Hekmatfar, Karim Jafari, Azadeh Edalat
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2012-01-01
Series:مجله دانشکده دندانپزشکی اصفهان
Subjects:
Online Access:http://www.jids.mui.ac.ir/index.php/jids/article/view/475
_version_ 1797717680293150720
author Samaneh Badakhsh
Somayeh Hekmatfar
Karim Jafari
Azadeh Edalat
author_facet Samaneh Badakhsh
Somayeh Hekmatfar
Karim Jafari
Azadeh Edalat
author_sort Samaneh Badakhsh
collection DOAJ
description AbstractIntroduction: Hyperimmunoglobulin E or Job’s syndrome is a rare congenital immune system disorder characterized by the classic triad of high serum IgE levels, severe eczematous dermatitis, and recurrent skin and lung infections. Most cases are autosomal dominant forms, but both autosomal recessive forms and sporadic cases have been described. In the majority of affected patients with autosomal dominant hyper-IgE syndrome a mutation in the STAT3 gene has been identified, A homozygous mutations in DOCK8 and TYK2 genes has been identified as the cause of patients with autosomal recessive hyper-IgE syndrome. The autosomal dominant hyper-IgE syndrome is associated with a cluster of facial, dental, skeletal, and connective tissue abnormalities which are not observable in the recessive type. An autosomal recessive disease characterized by severe recurrent fungal and viral infections, neurologic abnormalities and upper and lower respiratory tract infections. Eosinophilia is more common in autosomal recessive hyper-IgE syndrome than in autosomal dominant hyper-IgE syndrome. Case report: In the present case report two cases of hyper-IgE syndrome in one family with dermatitis and oral mucous and gingival lesions are presented. The medical history revealed high serum levels of IgE and high eosinophil counts. There were no reports of skeletal and dental abnormalities, and pneumonia. Discussion and conclusion: Regarding familial history, the absence of somatic features and an increased incidence of severe recurrent fungal and viral infections suggest that inheritance of the disease is most probably autosomal recessive. Key words: Candidiasis, Job’s syndrome, Immunoglobulin E, Oral.
first_indexed 2024-03-12T08:39:51Z
format Article
id doaj.art-787480287576425bb1cadccaa4cd4551
institution Directory Open Access Journal
issn 1735-255X
2008-6989
language fas
last_indexed 2024-03-12T08:39:51Z
publishDate 2012-01-01
publisher Isfahan University of Medical Sciences
record_format Article
series مجله دانشکده دندانپزشکی اصفهان
spelling doaj.art-787480287576425bb1cadccaa4cd45512023-09-02T16:55:42ZfasIsfahan University of Medical Sciencesمجله دانشکده دندانپزشکی اصفهان1735-255X2008-69892012-01-01819298Hyperimmunoglobulin E syndrome: A case reportSamaneh BadakhshSomayeh HekmatfarKarim JafariAzadeh EdalatAbstractIntroduction: Hyperimmunoglobulin E or Job’s syndrome is a rare congenital immune system disorder characterized by the classic triad of high serum IgE levels, severe eczematous dermatitis, and recurrent skin and lung infections. Most cases are autosomal dominant forms, but both autosomal recessive forms and sporadic cases have been described. In the majority of affected patients with autosomal dominant hyper-IgE syndrome a mutation in the STAT3 gene has been identified, A homozygous mutations in DOCK8 and TYK2 genes has been identified as the cause of patients with autosomal recessive hyper-IgE syndrome. The autosomal dominant hyper-IgE syndrome is associated with a cluster of facial, dental, skeletal, and connective tissue abnormalities which are not observable in the recessive type. An autosomal recessive disease characterized by severe recurrent fungal and viral infections, neurologic abnormalities and upper and lower respiratory tract infections. Eosinophilia is more common in autosomal recessive hyper-IgE syndrome than in autosomal dominant hyper-IgE syndrome. Case report: In the present case report two cases of hyper-IgE syndrome in one family with dermatitis and oral mucous and gingival lesions are presented. The medical history revealed high serum levels of IgE and high eosinophil counts. There were no reports of skeletal and dental abnormalities, and pneumonia. Discussion and conclusion: Regarding familial history, the absence of somatic features and an increased incidence of severe recurrent fungal and viral infections suggest that inheritance of the disease is most probably autosomal recessive. Key words: Candidiasis, Job’s syndrome, Immunoglobulin E, Oral.http://www.jids.mui.ac.ir/index.php/jids/article/view/475Key words: CandidiasisJob’s syndromeImmunoglobulin EOral
spellingShingle Samaneh Badakhsh
Somayeh Hekmatfar
Karim Jafari
Azadeh Edalat
Hyperimmunoglobulin E syndrome: A case report
مجله دانشکده دندانپزشکی اصفهان
Key words: Candidiasis
Job’s syndrome
Immunoglobulin E
Oral
title Hyperimmunoglobulin E syndrome: A case report
title_full Hyperimmunoglobulin E syndrome: A case report
title_fullStr Hyperimmunoglobulin E syndrome: A case report
title_full_unstemmed Hyperimmunoglobulin E syndrome: A case report
title_short Hyperimmunoglobulin E syndrome: A case report
title_sort hyperimmunoglobulin e syndrome a case report
topic Key words: Candidiasis
Job’s syndrome
Immunoglobulin E
Oral
url http://www.jids.mui.ac.ir/index.php/jids/article/view/475
work_keys_str_mv AT samanehbadakhsh hyperimmunoglobulinesyndromeacasereport
AT somayehhekmatfar hyperimmunoglobulinesyndromeacasereport
AT karimjafari hyperimmunoglobulinesyndromeacasereport
AT azadehedalat hyperimmunoglobulinesyndromeacasereport