Document Detail


Successful trimethoprim-sulfamethoxazole therapy in a patient with hyperimmunoglobulin E syndrome.
MedLine Citation:
PMID:  8495097     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A male patient with hyperimmunoglobulin E syndrome is described. Recurrent lymphadenitis and cutaneous staphylococcal abscesses were resistant to various antibiotics, and chemotaxis and hydrogen peroxide production of polymorphonuclear leukocytes were impaired. Following trimethoprim-sulfamethoxazole therapy, he was free from the above infections, and impaired polymorphonuclear leukocyte functions recovered and serum IgE decreased to approximately one-fifth of its initial level. Subsequent irregular medications, however, resulted in impairment of polymorphonuclear leukocyte functions and an increased serum IgE concentration, which recovered after regular resumption of trimethoprim-sulfamethoxazole treatment. From these results, the beneficial effects of trimethoprim-sulfamethoxazole in hyperimmunoglobulin E syndrome are clinically apparent, but in vitro studies failed to demonstrate the positive effect of trimethoprim-sulfamethoxazole on polymorphonuclear leukocytes and their mechanism still remains to be elucidated.
Authors:
K Hattori; M Hasui; K Masuda; M Masuda; H Ogino; Y Kobayashi
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  82     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-06-24     Completed Date:  1993-06-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  324-6     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Kansai Medical University, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Humans
Immunoglobulin E / blood,  drug effects
Job's Syndrome / diagnosis,  drug therapy*
Male
Neutrophils / drug effects
Treatment Outcome
Trimethoprim-Sulfamethoxazole Combination / pharmacology,  therapeutic use*
Chemical
Reg. No./Substance:
37341-29-0/Immunoglobulin E; 8064-90-2/Trimethoprim-Sulfamethoxazole Combination

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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