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Allergic contact dermatitis

A delayed-type hypersensitivity reaction that can show a prominent eosinophilic infiltrate along with spongiosis (edema in the epidermis).

Annular erythema of infancy

A benign eruption in infants with annular erythematous patches that histologically show a characteristic perivascular eosinophilic infiltrate.

Atopic dermatitis

The classic eczema, which histologically can show a variable infiltrate of eosinophils, especially in chronic lesions.

Bullous pemphigoid

An autoimmune blistering disease where the subepidermal blister is typically filled with and surrounded by a dense infiltrate of eosinophils.

Churg-Strauss syndrome

Now known as Eosinophilic Granulomatosis with Polyangiitis, this is a systemic vasculitis characterized by asthma, high eosinophil counts, and skin lesions like purpura and nodules full of eosinophils.

Coccidioidomycosis

This fungal infection can elicit a granulomatous reaction rich in eosinophils.

Drug reaction

Many drug hypersensitivity reactions, especially DRESS syndrome, are characterized by a widespread rash and a significant eosinophilic infiltrate in the skin and blood.

Eosinophilic folliculitis

An intensely pruritic eruption of sterile, urticarial follicular papules and pustules, with a histology showing a dense eosinophilic infiltrate specifically around hair follicles.

Granuloma faciale

A benign plaque on the face characterized by a dense, mixed inflammatory infiltrate containing numerous eosinophils, separated from the epidermis by a clear zone.

Hypereosinophilic syndrome

A systemic disorder of prolonged, high-level eosinophilia that can cause various skin manifestations, including pruritic papules, nodules, and urticaria, all with dense eosinophilic infiltrates.

Insect bite reaction

The classic histologic picture of an insect bite is a wedge-shaped, perivascular infiltrate containing numerous eosinophils.

Juvenile xanthogranuloma

A benign histiocytic proliferation in children, which can sometimes show a prominent number of eosinophils within the infiltrate of foamy histiocytes.

Kimura's disease

A chronic inflammatory disorder presenting as large subcutaneous masses in the head and neck, with a histology of lymphoid follicles, vascular proliferation, and marked tissue eosinophilia.

Papular urticaria

A hypersensitivity reaction to insect bites, common in children, presenting as recurrent crops of pruritic papules that histologically show spongiosis and an eosinophilic infiltrate.

Papuloerythroderma of Ofuji

A rare dermatosis of elderly men presenting as a widespread, pruritic, papular erythroderma with a characteristic "deck-chair" sign (sparing of skin folds) and peripheral eosinophilia.

Parasitic infestation

Many parasitic infections, like strongyloidiasis or hookworm, can cause skin eruptions and are associated with a high blood and tissue eosinophil count.

Polymorphic eruption of pregnancy

The most common dermatosis of pregnancy, presenting as intensely pruritic urticarial papules and plaques, often within striae, with a perivascular infiltrate that may contain eosinophils.

Pruritic papular eruption of HIV

A chronic, intensely itchy eruption of small papules in HIV patients, histologically similar to eosinophilic folliculitis or an insect bite reaction.

Pseudolymphoma

A benign reactive proliferation of lymphocytes that can mimic lymphoma, often with a prominent component of eosinophils, as seen in lymphocytoma cutis.

Scabies

The inflammatory reaction to the scabies mite and its products is often rich in eosinophils.

Urticaria

While typically sparse, the perivascular infiltrate in common hives can sometimes contain a significant number of eosinophils.

Urticarial vasculitis

A small vessel vasculitis where the vessel walls are infiltrated by neutrophils, but the surrounding dermis can have a heavy infiltrate of eosinophils.

Wells syndrome

Also known as eosinophilic cellulitis, this is characterized by edematous, erythematous plaques and a dramatic dermal infiltrate of eosinophils, often arranged around collagen bundles ("flame figures").

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