Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE Syndrome

Hyper-IgE syndrome (HIES) is a rare primary immunodeficiency characterized by elevated levels of immunoglobulin E (IgE), eczematous dermatitis, cold abscesses, and recurrent infections of the lung and skin caused by Staphylococcus aureus. The dominant form is characterized by nonimmunologic features...

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Main Authors: Cesar Daniel Alonso-Bello, María del Carmen Jiménez-Martínez, María Eugenia Vargas-Camaño, Sagrario Hierro-Orozco, Mario Alberto Ynga-Durand, Laura Berrón-Ruiz, Julio César Alcántara-Montiel, Leopoldo Santos-Argumedo, Diana Andrea Herrera-Sánchez, Fernando Lozano-Patiño, María Isabel Castrejón-Vázquez
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Immunology
Online Access:http://dx.doi.org/10.1155/2019/6357256
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author Cesar Daniel Alonso-Bello
María del Carmen Jiménez-Martínez
María Eugenia Vargas-Camaño
Sagrario Hierro-Orozco
Mario Alberto Ynga-Durand
Laura Berrón-Ruiz
Julio César Alcántara-Montiel
Leopoldo Santos-Argumedo
Diana Andrea Herrera-Sánchez
Fernando Lozano-Patiño
María Isabel Castrejón-Vázquez
author_facet Cesar Daniel Alonso-Bello
María del Carmen Jiménez-Martínez
María Eugenia Vargas-Camaño
Sagrario Hierro-Orozco
Mario Alberto Ynga-Durand
Laura Berrón-Ruiz
Julio César Alcántara-Montiel
Leopoldo Santos-Argumedo
Diana Andrea Herrera-Sánchez
Fernando Lozano-Patiño
María Isabel Castrejón-Vázquez
author_sort Cesar Daniel Alonso-Bello
collection DOAJ
description Hyper-IgE syndrome (HIES) is a rare primary immunodeficiency characterized by elevated levels of immunoglobulin E (IgE), eczematous dermatitis, cold abscesses, and recurrent infections of the lung and skin caused by Staphylococcus aureus. The dominant form is characterized by nonimmunologic features including skeletal, connective tissue, and pulmonary abnormalities in addition to recurrent infections and eczema. Omalizumab is a humanized recombinant monoclonal antibody against IgE. Several studies reported clinical improvement with omalizumab in patients with severe atopic eczema with high serum IgE level. We present the case of a 37-year-old male with HIES and cutaneous manifestations, treated with humanized recombinant monoclonal antibodies efalizumab and omalizumab. After therapy for 4 years, we observed diminished eczema and serum IgE levels.
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publishDate 2019-01-01
publisher Wiley
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series Case Reports in Immunology
spelling doaj-art-2cadbd39d0894b31bf9865b9f34089212025-08-20T02:24:04ZengWileyCase Reports in Immunology2090-66092090-66172019-01-01201910.1155/2019/63572566357256Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE SyndromeCesar Daniel Alonso-Bello0María del Carmen Jiménez-Martínez1María Eugenia Vargas-Camaño2Sagrario Hierro-Orozco3Mario Alberto Ynga-Durand4Laura Berrón-Ruiz5Julio César Alcántara-Montiel6Leopoldo Santos-Argumedo7Diana Andrea Herrera-Sánchez8Fernando Lozano-Patiño9María Isabel Castrejón-Vázquez10Immunology and Allergy Department, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, MexicoFaculty of Medicine, Universidad Nacional Autónoma de México, MexicoImmunology and Allergy Department, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, MexicoDermatology Department, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, MexicoUniversidad Nacional Autónoma de México, Facultad de Estudios Superiores Zaragoza, Facultad de Medicina, MexicoImmunodeficiencies Research Unit, Instituto Nacional de Pediatria, Secretaría de Salud, MexicoUniversidad Nacional Autónoma de México, Facultad de Estudios Superiores Zaragoza, Facultad de Medicina, MexicoDepartment of Molecular Biomedicine, CINVESTAV-IPN, MexicoImmunology and Allergy Department, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, MexicoImmunology and Allergy Department, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, MexicoImmunology and Allergy Department, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, MexicoHyper-IgE syndrome (HIES) is a rare primary immunodeficiency characterized by elevated levels of immunoglobulin E (IgE), eczematous dermatitis, cold abscesses, and recurrent infections of the lung and skin caused by Staphylococcus aureus. The dominant form is characterized by nonimmunologic features including skeletal, connective tissue, and pulmonary abnormalities in addition to recurrent infections and eczema. Omalizumab is a humanized recombinant monoclonal antibody against IgE. Several studies reported clinical improvement with omalizumab in patients with severe atopic eczema with high serum IgE level. We present the case of a 37-year-old male with HIES and cutaneous manifestations, treated with humanized recombinant monoclonal antibodies efalizumab and omalizumab. After therapy for 4 years, we observed diminished eczema and serum IgE levels.http://dx.doi.org/10.1155/2019/6357256
spellingShingle Cesar Daniel Alonso-Bello
María del Carmen Jiménez-Martínez
María Eugenia Vargas-Camaño
Sagrario Hierro-Orozco
Mario Alberto Ynga-Durand
Laura Berrón-Ruiz
Julio César Alcántara-Montiel
Leopoldo Santos-Argumedo
Diana Andrea Herrera-Sánchez
Fernando Lozano-Patiño
María Isabel Castrejón-Vázquez
Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE Syndrome
Case Reports in Immunology
title Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE Syndrome
title_full Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE Syndrome
title_fullStr Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE Syndrome
title_full_unstemmed Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE Syndrome
title_short Partial and Transient Clinical Response to Omalizumab in IL-21-Induced Low STAT3-Phosphorylation on Hyper-IgE Syndrome
title_sort partial and transient clinical response to omalizumab in il 21 induced low stat3 phosphorylation on hyper ige syndrome
url http://dx.doi.org/10.1155/2019/6357256
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