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Giant chalazia in the hyperimmunoglobulinemia E (hyper-IgE) syndrome
N Crama1, A M P Toolens, J W M van der Meer
1Institute of Ophthalmology, University Medical Centre Nijmegen, Nijmegen, The Netherlands.
Purpose:
To report the occurrence of recurrent multiple giant chalazia in the hyperimmunoglobulin E syndrome (hyper-IgE syndrome or Job syndrome).
Methods:
Two patients with hyperimmunoglobulinemia E (>500 IU/ml) had ophthalmologic examination and surgical treatment for chalazia of the eyelids.
Results:
The hyper-IgE syndrome is a rare immunodeficiency and multisystem disorder characterized by recurrent skin and pulmonary abscesses, connective tissue abnormalities, and elevated levels of serum IgE. In two patients with the hyper-IgE syndrome, multiple giant chalazia were seen in upper and lower eyelids. Despite surgical incision new giant chalazia arose.
Conclusions:
Recurrent multiple giant chalazia may occur as an ophthalmic feature of the hyper-IgE syndrome.