Episodic angioedema associated with eosinophilia
An. bras. dermatol
;
92(4): 534-536, July-Aug. 2017. graf
Article
in English
| LILACS
| ID: biblio-887014
ABSTRACT
Abstract 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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Eosinophilia
/
Angioedema
Type of study:
Risk factors
Limits:
Child
/
Female
/
Humans
Language:
English
Journal:
An. bras. dermatol
Journal subject:
Dermatology
Year:
2017
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Nanjing University School of Medicine/CN
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