Hyperimmunoglobulin e [job's] syndrome

Hyperimmunoglobulin E syndrome is a primary immunodeficiency disease characterized by markedly high titers of serum immunoglobulin E [lgE], chronic eczema, recurrent staphylococcal infections and pneumatoceles. There are no clin ical tools for diagnosis and definitive laboratory investigation. Variability of presentation makes it easy to confuse the diagnosis with severe atopy or other rare immunodeficiencies. We report case of a 9-year-old boy with recurrent eczema, mycotic infection of the nails and moderately elevated lgE levels