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Introduction

Brendon Verhave and Lisa A. Beck Eosinophil-Associated Dermatoses

Key features

ย„Infiltration of eosinophils into the skin is not uncommon; therefore, clinicopathologic correlation is important to arrive at the correct clinical diagnosis

ย„Eosinophil-associated dermatoses include arthropod bite reactions and drug eruptions (โ€œbugs and drugsโ€), atopic dermatitis, Wells syndrome, hypereosinophilic syndromes, autoimmune blistering diseases, and parasitic infections

ย„Activated eosinophils lose their morphologic integrity as they deposit toxic granule proteins and other inflammatory mediators in tissues; the absence of intact eosinophils may not be an accurate reflection of their relevance to a disease state

ย„In patients with persistent peripheral blood eosinophilia, as observed with hypereosinophilic syndromes, tissue infiltration and eosinophilderived mediators may cause significant end-organ damage