Journal of Cutaneous Immunology and Allergy (Dec 2022)

Autosomal recessive hyper‐IgE syndrome due to DOCK8 deficiency: An adjunctive role for omalizumab

  • Kim Han Nguyen,
  • Quynh Anh Nguyen,
  • Mai Hoang Tran,
  • Thu Thuy Can,
  • Mai Thi Vu,
  • Nam Sy Vo,
  • Hieu Chu Chi,
  • Sheryl vanNunen,
  • Dinh Van Nguyen

DOI
https://doi.org/10.1002/cia2.12273
Journal volume & issue
Vol. 5, no. 6
pp. 222 – 226

Abstract

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Abstract Autosomal recessive hyper‐IgE syndrome (AR‐HIES) is a rare primary immunodeficiency disorder characterized by high serum IgE levels, recurrent viral skin infections, severe allergies, and early‐onset malignancies, associated with mutations in the gene encoding the dedicator of cytokinesis 8 protein (DOCK8). We report a rare case of AR‐HIES with DOCK8 deficiency in a young Japanese male with a past medical history of chronic atopic dermatitis, severe food allergies, and severe herpes simplex virus infection. Treatment was successfully based on infection management, skincare, and dietary elimination. In addition, anti‐IgE therapy with omalizumab was the target treatment for this syndrome.

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