Cutaneous histoplasmosis in a child with hyper-IgM.
Pediatr Dermatol
; 12(3): 235-8, 1995 Sep.
Article
in En
| MEDLINE
| ID: mdl-7501554
ABSTRACT
Immunodeficiency with hyperimmunoglobulinemia M is a rare disease characterized by very low levels of IgG and IgA and normal or high levels of serum IgM and IgD. Recurrent and severe systemic infections with pathogenic bacteria are frequent if immunoglobulin replacement therapy is not given. Histoplasmosis is a systemic granulomatous mycosis due to Histoplasma capsulatum and characterized by a particular affinity for the reticuloendothelial system. Glabrous skin involvement in histoplasmosis is highly unusual except in patients with advanced human immunodeficiency viral disease. Cutaneous histoplasmosis and granulomatous reaction were diagnosed in a 5-year-old boy with hyper-IgM disease. The lesion improved after oral ketoconazole therapy. To our knowledge, this is the first case of cutaneous histoplasmosis associated with hyper-IgM to be reported.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Immunoglobulin M
/
Dermatomycoses
/
Histoplasmosis
/
Hypergammaglobulinemia
Limits:
Child, preschool
/
Humans
/
Male
Language:
En
Journal:
Pediatr Dermatol
Year:
1995
Document type:
Article
Affiliation country: