Opinion Article - Journal of Molecular Oncology Research (2023) Volume 7, Issue 5
Differentiating between medication hypersensitivity and cutaneous graft-versus-host disease utilizing tissue eosinophils and skin biopsy samples is dangerous.
Alessia Puglisi*
Department of Internal Medicine, Fujita Health University, Japan
- *Corresponding Author:
- Alessia Puglisi
Department of Internal Medicine
Fujita Health University
Japan
E-mail: alessia@pug.lisi.jp
Received:24-Aug-2023, Manuscript No. AAMOR-23-112346; Editor assigned:28-Aug-2023, PreQC No. AAMOR-23-112346(PQ); Reviewed:11-Sep-2023, QC No. AAMOR-23-112346; Revised:16-Sep-2023, Manuscript No. AAMOR-23-112346 (R); Published:22-Sep-2023, DOI:10.35841/ aamor-7.5.191
Citation: Puglisi A. Differentiating between medication hypersensitivity and cutaneous graft-versus-host disease utilizing tissue eosinophils and skin biopsy samples is dangerous. J Mol Oncol Res. 2023;7(5):191
Introduction
A biopsy specimen, which is a little but significant sample of tissue or cellular material removed from a patient's body for careful analysis, is an essential component in the world of medical diagnosis and research. This complex and exact process is essential for the early detection, diagnosis, and treatment of a wide range of illnesses, including cancer, infectious diseases, autoimmune disorders, and organ malfunction. Using biopsy specimens, doctors can customize treatment programs and give patients more precise prognoses by gaining crucial insights into the underlying causes of diseases [1].
The capacity to discern between distinct skin disorders is crucial for medical diagnosis and therapy. However, there are times when employing tissue eosinophils and skin biopsy samples to distinguish between two distinct conditions—medication hypersensitivity and cutaneous graft-versus-host disease (cGVHD)—can be dangerous. Eosinophils and skin biopsies are useful diagnostic tools in dermatology, but misinterpretation can result in inaccurate diagnosis and potentially severe patient outcomes. In this research, we examine the difficulties and dangers of separating drug hypersensitivity from cGVHD primarily based on tissue eosinophils and skin biopsy samples [2].
Medication hypersensitivity is an adverse medication reaction that can present as skin rashes, itching, and blistering, among other symptoms. The complex immune-mediated syndrome known as cGVHD, on the other hand, can develop following a bone marrow or hematopoietic stem cell transplant. Due to the possibility of skin symptoms in both illnesses, it can be challenging to differentiate between them based only on clinical appearance [3].
White blood cells called eosinophils are involved in the immunological response of the body, especially in allergic reactions and parasitic infections. Eosinophil levels that are elevated in skin biopsy samples are frequently linked to allergic or hypersensitive reactions. This finding has prompted some medical professionals to use eosinophil counts as a marker to distinguish between cGVHD and drug hypersensitivity [4].
Eosinophilia alone is not a conclusive diagnostic criterion, despite the fact that its presence in skin biopsy samples can signal an allergic reaction. Recent research has shown that cGVHD-related skin lesions can also contain eosinophils, blurring the distinction between the two diseases. This overlap may cause patients to receive the wrong kind of treatments by misdiagnosing cGVHD as drug hypersensitivity or vice versa [5].
Conclusion
It is risky to distinguish between drug hypersensitivity and cutaneous graft-versus-host disease (cGVHD) merely using tissue eosinophils and skin biopsy samples. Although dermatological and immunological assessments have typically relied on these diagnostic methods, current research has revealed the dangers of this strategy.
References
- Cuthbertson P, Adhikary SR, Geraghty NJ, et al. Increased P2X7 expression in the gastrointestinal tract and skin in a humanised mouse model of graft-versus-host disease. Clin Sci. 2020;134(2):207-23.
- Abate MS, Battle LR, Emerson AN, et al. Dermatologic urgencies and emergencies: What every pathologist should know. Arch Pathol Lab Med. 2019;143(8):919-42.
- Ernst M, Lundgren M, Evans MD, et al. The mixed spongiotic and interface reaction pattern: A study of clinical and histopathologic findings. J Cutan Pathol. 2022;49(12):1051-9.
- Handler MZ, Schwartz RA. Staphylococcal scalded skin syndrome: Diagnosis and management in children and adults. J Eur Acad Dermatol Venereol. 2014;28(11):1418-23.
- Gogtay NJ, Bavdekar SB, Kshirsagar NA. Anticonvulsant hypersensitivity syndrome: A review. Expert Opin Drug Saf. 2005;4(3):571-81.
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref