Eosinophilic Skin Diseases: A Comprehensive Review
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  • 作者:Hai Long ; Guiying Zhang ; Ling Wang ; Qianjin Lu
  • 关键词:Eosinophilic dermatoses ; Eosinophilic cellulitis (Wells syndrome) ; Granuloma faciale ; Eosinophilic pustular folliculitis ; Recurrent cutaneous eosinophilic vasculitis (RCEV) ; Eosinophilic fasciitis (Shulman disease)
  • 刊名:Clinical Reviews in Allergy & Immunology
  • 出版年:2016
  • 出版时间:April 2016
  • 年:2016
  • 卷:50
  • 期:2
  • 页码:189-213
  • 全文大小:3,809 KB
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  • 作者单位:Hai Long (1)
    Guiying Zhang (1)
    Ling Wang (2)
    Qianjin Lu (1)

    1. Department of Dermatology, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, Hunan, 410011, China
    2. Department of Stomatology, The Second Xiangya Hospital, Central South University, 139 Middle Renmin Road, Changsha, 410011, Hunan, China
  • 刊物主题:Allergology; Immunology; Internal Medicine;
  • 出版者:Springer US
  • ISSN:1559-0267
文摘
Eosinophilic skin diseases, commonly termed as eosinophilic dermatoses, refer to a broad spectrum of skin diseases characterized by eosinophil infiltration and/or degranulation in skin lesions, with or without blood eosinophilia. The majority of eosinophilic dermatoses lie in the allergy-related group, including allergic drug eruption, urticaria, allergic contact dermatitis, atopic dermatitis, and eczema. Parasitic infestations, arthropod bites, and autoimmune blistering skin diseases such as bullous pemphigoid, are also common. Besides these, there are several rare types of eosinophilic dermatoses with unknown origin, in which eosinophil infiltration is a central component and affects specific tissue layers or adnexal structures of the skin, such as the dermis, subcutaneous fat, fascia, follicles, and cutaneous vessels. Some typical examples are eosinophilic cellulitis, granuloma faciale, eosinophilic pustular folliculitis, recurrent cutaneous eosinophilic vasculitis, and eosinophilic fasciitis. Although tissue eosinophilia is a common feature shared by these disorders, their clinical and pathological properties differ dramatically. Among these rare entities, eosinophilic pustular folliculitis may be associated with human immunodeficiency virus (HIV) infection or malignancies, and some other diseases, like eosinophilic fasciitis and eosinophilic cellulitis, may be associated with an underlying hematological disorder, while others are considered idiopathic. However, for most of these rare eosinophilic dermatoses, the causes and the pathogenic mechanisms remain largely unknown, and systemic, high-quality clinical investigations are needed for advances in better strategies for clinical diagnosis and treatment. Here, we present a comprehensive review on the etiology, pathogenesis, clinical features, and management of these rare entities, with an emphasis on recent advances and current consensus.

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