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  • Title: Job's syndrome with an atypical presentation.
    Author: Tasneem AA, Sarfaraz S, Hassan SM, Luck NH, Anis S, Abbas Z.
    Journal: J Pak Med Assoc; 2013 Nov; 63(11):1427-9. PubMed ID: 24392534.
    Abstract:
    Hyper Immunoglobulin E syndrome also called Job's or Buckley Syndrome is a rare primary immunodeficiency disease characterized by elevated serum IgE levels (> 2000 IU/ml), recurrent infections and eosinophilia. Other features include coarse facies and non-immunologic abnormalities of the dentition, bones, vasculature and connective tissues. We are reporting a case of a twenty four years old male with coarse facies who presented with severe pallor and upper gastrointestinal bleeding. Investigations revealed markedly elevated serum IgE levels (11,800 IU/ml), severe anaemia, esophageoduodenal erosions, Helicobacter pylori (H. pylori) gastritis and oro-esophageal candidiasis.
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