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Neoplasms of the hematopoietic system, including hematopoietic cell neoplasms (e.g. leukemias, lymphomas) and non-hematopoietic cell neoplasms that can affect the hematopoietic system (e.g. lymph node and splenic sarcomas). --2003
No HPO annotations are available for this condition.
STAT3 hyper IgE syndrome (STAT3-HIES) is a primary immune deficiency syndrome characterized by elevated serum IgE, eczema, and recurrent skin and respiratory tract infections, together with several connective tissue and skeletal abnormalities.
Individuals with STAT3-HIES typically manifest in the newborn period with a rash, often diagnosed as eosinophilic pustulosis. The rash evolves into an eczematoid dermatitis that is often driven by staphylococcal infection .
Recurrent skin and sinopulmonary infections are noted in early childhood.
Source: GeneReviews — "STAT3 Hyper IgE Syndrome"
STAT3 hyper IgE syndrome (STAT3-HIES) should be suspected in individuals with the following findings:
Newborn rash and typically eczematous rash at least through childhood
Recurrent skin boils (often "cold," manifesting little inflammatory reaction)
Cyst-forming pneumonias
Mucocutaneous candidiasis
Nonimmune features such as three or more retained primary teeth, scoliosis, bone fractures following minimal trauma, hyperextensibility of joints, characteristic facial appearance, increased nasal width, high palate
Laboratory test results showing:
Elevations of serum concentration of immunoglobulin E (IgE) to levels above 2000 IU/mL (normal 100 IU/mL in adults);
Eosinophilia (700/L);
Diminished circulating memory T and B cells and near absence of IL-17-producing Th17 cells.
Source: GeneReviews — "STAT3 Hyper IgE Syndrome"
Table 2. Disorders with Elevated Serum Concentration of IgE to Consider in the Differential Diagnosis of STAT3 Hyper IgE Syndrome
Gene(s) | Disorder | MOI | Additional Clinical Features of Differential Disorder |
|---|---|---|---|
Overlapping w/STAT3-HIES | Distinguishing from STAT3-HIES CARD141FLG2 | Atopic dermatitis3 | ADAR4 |
CARD11 | Immunodeficiency 11B w/atopic dermatitis5 (OMIM 617638) |
Biomarker and diagnostic research for hematopoietic and lymphoid system neoplasm has been reported in the published literature.
No approved treatments are currently available for hematopoietic and lymphoid system neoplasm. The disease remains an area of unmet medical need.
Evaluations Following Initial Diagnosis To establish the extent of disease in an individual diagnosed with STAT3 hyper IgE syndrome (STAT3-HIES), the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 3. Recommended Evaluations Following Initial Diagnosis in Individuals with STAT3 Hyper IgE Syndrome
System/Concern | Evaluation | Comment |
|---|---|---|
Skin | Dermatologic exam | Newborn rash eczema during childhood; often improves w/age |
Pulmonary | Chest imaging | Detection of bronchiectasis pneumatoceles |
Skeletal | Eval for scoliosis osteoporosis | Scoliosis typically progresses through adolescence.; Osteoporosis can be present in children adults; DXA screening recommended. |
Dental | Dental exam for possible retention of primary teeth | — |
Vascular | Screening for coronary artery cerebral artery aneurysms | Aneurysms much more common in adults than in children; Screening by brain MRA heart CTA or coronary artery MRA every 3 yrs recommended for adolescents adults |
Source: GeneReviews — "STAT3 Hyper IgE Syndrome"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "STAT3 Hyper IgE Syndrome"
30 trials found
Table 5. Recommended Surveillance for Individuals with STAT3 Hyper IgE Syndrome
System/Concern | Evaluation | Frequency |
|---|---|---|
Skin | Dermatology exam culture of skin lesions | As needed |
Pulmonary | High index of suspicion for infection | Lifelong Periodic chest imaging |
Skeletal | Scoliosis eval | Through adolescence |
Dental | Monitor for emergence of secondary teeth possible need for removal of primary teeth | Every 6-12 mos during childhood Vascular |
Other | Monitor for lymphadenopathy, or masses due to incidence of lymphoma | Annually |
Source: GeneReviews — "STAT3 Hyper IgE Syndrome"
30 clinical trials registered, 16 recruiting. Interventions under study include other interventions, procedural interventions, drug therapy, and biologic therapy. Pipeline includes 1 PHASE3, 5 PHASE2, 3 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06151730](https://clinicaltrials.gov/study/NCT06151730) | Evaluation of Hypertension Management and Cardiovascular Adverse Event Prevention in Patients With B-cell Malignancies Undergoing Treatment With Bruton Tyrosine Kinase Inhibitors, the HALT Study | — | Mayo Clinic | RECRUITING |
[NCT05584449](https://clinicaltrials.gov/study/NCT05584449) | Group Curriculum for Improving Survivorship Outcomes in Adolescent and Young Adult Cancer Survivors | NA | Mayo Clinic | RECRUITING |
[NCT05969860](https://clinicaltrials.gov/study/NCT05969860) | At-Home Cancer Directed Therapy Versus in Clinic for the Treatment of Patients With Advanced Cancer | PHASE2 | Mayo Clinic | RECRUITING |
[NCT06059391](https://clinicaltrials.gov/study/NCT06059391) | CMV-MVA Triplex Vaccination in HLA-Matched Related Stem Cell Donors for the Prevention of CMV Infection in Patients Undergoing Hematopoietic Stem Cell Transplant | PHASE2 | City of Hope Medical Center | RECRUITING |
[NCT06246955](https://clinicaltrials.gov/study/NCT06246955) | Acceptance and Commitment Therapy and Compassion-Based Virtual Group Therapy to Improve Psychological Wellbeing in Patients With Cancer | NA | Mayo Clinic | RECRUITING |
417 publications have been identified in PubMed for hematopoietic and lymphoid system neoplasm. Research spans Review / Meta-Analysis (47%), Epidemiology / Natural History (14%), and Basic Science / Preclinical (10%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 198 | 47% |
Disease patterns and progression | 59 | 14% |
Laboratory research | 40 | 10% |
Patient case studies | 36 | 9% |
Other research | 24 | 6% |
Clinical study results | 24 |
Wang B (2026). [PMID: 41534494](https://pubmed.ncbi.nlm.nih.gov/41534494/). *Biochem Biophys Res Commun*. [Review / Meta-Analysis]
Lübke J (2026). [PMID: 41005704](https://pubmed.ncbi.nlm.nih.gov/41005704/). *J Allergy Clin Immunol Pract*. [Epidemiology / Natural History]
Peterson JF (2026). [PMID: 42457191](https://pubmed.ncbi.nlm.nih.gov/42457191/). *Arch Pathol Lab Med*. [Review / Meta-Analysis]
Yuan T (2026). [PMID: 41800261](https://pubmed.ncbi.nlm.nih.gov/41800261/). *Int J Biol Sci*. [Review / Meta-Analysis]
Chen S (2026). [PMID: 41396587](https://pubmed.ncbi.nlm.nih.gov/41396587/). *Hematol Oncol*. [Clinical Trial Publication]
Dye B (2026). [PMID: 41115502](https://pubmed.ncbi.nlm.nih.gov/41115502/). *Am J Med Sci*. [Review / Meta-Analysis]
Hong Z (2026). [PMID: 41953024](https://pubmed.ncbi.nlm.nih.gov/41953024/). *Front Immunol*. [Review / Meta-Analysis]
Yang M (2026). [PMID: 42441512](https://pubmed.ncbi.nlm.nih.gov/42441512/). *Am J Case Rep*. [Case Report / Case Series]
Gariazzo C (2026). [PMID: 42444463](https://pubmed.ncbi.nlm.nih.gov/42444463/). *Epidemiol Prev*. [Epidemiology / Natural History]
Rong Z (2026). [PMID: 42405367](https://pubmed.ncbi.nlm.nih.gov/42405367/). *J Brown Hosp Med*. [Case Report / Case Series]
Data assembled from 4 of 12 sources · Last updated Oct 4, 2026, 3:02 AM UTC
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Early-onset eczema (frequently) |
RAG2 | Omenn syndrome6 (OMIM 603554) | AR | Presents in newborn period w/rash typically serum IgE |
DOCK8 | DOCK8 deficiency (DOCK8 AR HIES7) (OMIM 243700) | AR | Eczema |
IL6ST | IL6ST deficiency9 (OMIM 618523) | AR | Recurrent skin lung infections; Craniosynostosis scoliosis |
PGM3 | PGM3 deficiency10 (OMIM 615816) | AR | Recurrent skin sinopulmonary infections; bone defects incl scoliosis |
SPINK5 | Netherton syndrome (OMIM 256500) | AR | Rash |
WAS | Wiskott-Aldrich syndrome (See WAS Disorders.) | XL | Eczema recurrent infections |
ZNF341 | ZNF341 deficiency11 (OMIM 618282) | AR | Eczema recurrent infections |
Source: GeneReviews — "STAT3 Hyper IgE Syndrome"
Other |
Consultation w/clinical geneticist /or genetic counselor |
DXA = dual-energy x-ray absorptiometry Currently, there is no complete cure or targeted treatment for STAT3-HIES. The mainstay of therapy is prevention of staphylococcal abscesses and pneumonias with prophylactic anti-staphylococcal antibiotics as well as early aggressive treatment of infections. |
Treatment of Manifestations in Individuals with STAT3 Hyper IgE Syndrome Manifestation/Concern | Treatment | Considerations/Other Eczema |
recurrent boils | Topical antiseptics, e.g., dilute bleach baths1 chlorhexidine; frequent swimming in chlorinated pool | Adequate skin lubrication is needed after bleach. Anti-staphylococcal prophylaxis, e.g., w/2x/day TMP/SMX |
pneumonias | Antibiotic prophylaxis, typically w/2x/day TMP/SMX | Targeting Staphylococcus aureus other pyogenic bacteria to prevent the pneumonias their complications In Coccidioides endemic regions use of prophylactic antifungals (e.g., fluconazole) can be considered. |
candidiasis | Antifungal prophylaxis | Consider fluconazole prophylaxis if living in a Coccidioides endemic region. Osteoporosis Minimal trauma |
fractures | Optimize calcium vitamin D intake | The role of bisphosphonates for those w/this disorder w/osteoporosis is unclear; some improvement seen in bone density but unclear improvement in fractures . Arterial |
aneurysms | Optimal blood pressure mgmt | Antiplatelet or anticoagulation therapies may be considered for individuals w/significant coronary artery aneurysms to prevent myocardial infarction related to clotting w/in the aneurysm. |
Testing and diagnosis research | 22 | 5% |
New treatment approaches | 14 | 3% |