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Bullous Pemphigoid-like Rash Revealing Hypereosinophilic Syndrome

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2021 Jun 9
PMID 34103306
Citations 3
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Abstract

Hypereosinophilic syndrome (HES) is a rare haematologic disorder characterised by unexplained, persistent eosinophilia with organ involvement. We report the case of a 74-year-old patient who presented with a pemphigoid-like bullous rash as the only manifestation of an HES. This report highlights the importance of the dermatological manifestations of this potentially life-threating condition that may initially present as a skin-limited disease. Bullous pemphigoid (BP) is a very common autoimmune blistering dermatosis that may share common clinical and histological features or associate with an HES. HES should be considered when patients diagnosed with BP demonstrate atypical course under corticosteroids and/or recalcitrant blood eosinophilia.

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References
1.
Belgnaoui F, Idrissi M, Benyoussef K, Loudiye T, Bella A, Senouci K . [Idiopathic hypereosinophilic syndrome and bullous pemphigoid]. Ann Dermatol Venereol. 2003; 129(11):1291-4. View

2.
Curto-Barredo L, Segura S, Ishii N, Hashimoto T, Mascaro Jr J, Espinet B . Pemphigus-like hypereosinophilic syndrome with FIP1L1-PDGFRA fusion gene: A challenging and uncommon clinical presentation. J Dermatol. 2019; 46(6):531-534. DOI: 10.1111/1346-8138.14888. View

3.
Leiferman K, Gleich G, Peters M . Dermatologic manifestations of the hypereosinophilic syndromes. Immunol Allergy Clin North Am. 2007; 27(3):415-41. DOI: 10.1016/j.iac.2007.07.009. View

4.
Roufosse F, Kahn J, Gleich G, Schwartz L, Singh A, Rosenwasser L . Long-term safety of mepolizumab for the treatment of hypereosinophilic syndromes. J Allergy Clin Immunol. 2012; 131(2):461-7.e1-5. PMC: 3558744. DOI: 10.1016/j.jaci.2012.07.055. View

5.
Hofmann S, Technau K, Muller A, Lubbert M, Bruckner-Tuderman L . Bullous pemphigoid associated with hypereosinophilic syndrome: simultaneous response to imatinib. J Am Acad Dermatol. 2006; 56(5 Suppl):S68-72. DOI: 10.1016/j.jaad.2006.02.059. View