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. 2022 Dec;73(12):965-972.
doi: 10.1007/s00105-022-05071-9. Epub 2022 Nov 15.

[Eosinophilic dermatoses]

[Article in German]
Affiliations

[Eosinophilic dermatoses]

[Article in German]
E Papakonstantinou et al. Dermatologie (Heidelb). 2022 Dec.

Abstract

Eosinophilic dermatoses are a heterogeneous group of rare diseases that histopathologically display the defining pattern of an eosinophil-rich dermal infiltrate. In these eosinophilic dermatoses, a histopathologic pattern called flame figures, which result from degranulation of eosinophils in the tissue, can be observed. Although eosinophil granulocytes can also be detected in other dermatoses such as atopic dermatitis, urticaria, prurigo and bullous pemphigoid, the eosinophil-rich infiltrate is decisive for classic eosinophilic dermatoses. Accordingly, eosinophilic dermatoses include hypereosinophilic syndrome, eosinophilic fasciitis, granuloma faciale, pustular sterile eosinophilia, and angiolymphoid hyperplasia with eosinophilia. These eosinophilic dermatoses display clinical different patterns and are discussed in this article, as well as the interesting eosinophils and novel therapeutic options.

Die eosinophilen Dermatosen sind eine heterogene Gruppe von seltenen Krankheiten, die histopathologisch das entscheidende Muster eines eosinophilenreichen dermalen Infiltrates vorweisen. Bei diesen eosinophilen Dermatosen können histopathologisch Flammenfiguren nachgewiesen werden, die durch die Degranulation der Eosinophilen im Gewebe entstehen. Wenngleich eosinophile Granulozyten auch bei anderen Dermatosen wie der atopischen Dermatitis, der Urtikaria, der Prurigo und dem bullösen Pemphigoid etc. nachgewiesen werden können, so ist das eosinophilenreiche Infiltrat für die klassischen eosinophilen Dermatosen ausschlaggebend. Zu den eosinophilen Dermatosen im engeren Sinn gehören das hypereosinophile Syndrom, die eosinophile Fasziitis, das Granuloma faciale, die pustulöse sterile Eosinophilie und die angiolymphoide Hyperplasie mit Eosinophilie. Diese eosinophilen Dermatosen weisen ein unterschiedliches klinisches Bild auf und werden in diesem Beitrag zusammen mit den interessanten eosinophilen Granulozyten sowie neuen Therapieoptionen vorgestellt.

Keywords: Anti-interleukin‑5; Eosinophil granulocytes; Eosinophil-rich infiltrate; Flame figures; Hypereosinophilia.

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References

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