Hyperimmunoglobulin E-recurrent infection syndrome in a patient with juvenile dermatomyositis

Korean J Intern Med. 1999 Jan;14(1):95-8. doi: 10.3904/kjim.1999.14.1.95.

Abstract

A 13-year-old girl presented with multiple skin abscesses. She was diagnosed as having juvenile dermatomyositis (DM) at the age of 7 years. She had suffered from recurrent skin infections, atypical pruritic dermatitis and pneumonia since the age of 8 years. Bacteriologic and fungal cultures for skin abscesses and oral mucosa were positive S. aureus and C. albicans, respectively. Chemotactic defect in peripheral blood neutrophils was observed. The level of serum IgE was markedly elevated, and anti-S.aureus specific IgE was found. A diagnosis of hyperimmunoglobulin E-recurrent infection syndrome (HIE) was made and she was successfully treated with surgical drainage and antibiotics. To our knowledge, this is the first case report of HIE in a patient with juvenile dermatomyositis.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Dermatomyositis / complications*
  • Female
  • Humans
  • Immunoglobulin E / blood
  • Job Syndrome / complications*
  • Job Syndrome / diagnosis
  • Job Syndrome / immunology
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / immunology
  • Staphylococcus aureus / immunology

Substances

  • Immunoglobulin E