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DermAtlas: ANKLE - ataxia-telangiectasia
© 2001-2010, DermAtlas
Image Name: granulomatous_reaction_6_031008   File Type: jpg
Diagnosis: ATAXIA-TELANGIECTASIA /
GRANULOMATOUS REACTION /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder
Body Site: ankle / foot   Age: 12 years
Contributor: Hisham Abdel Hafez, MD    
Description: annular and round violaceous plaques with central scale, fibrosis and atrophy
Comments: Two years ago this 12-year-old boy with ataxia-telangiectasia developed painful violaceous plaques on hig right hand and wrist. The lesions slowly progressed and he developed new plaques on his left ankle a year ago. Multiple biopsies have shown granulomatous changes, but special stains and cultures for bacteria, fungi, and mycobacteria have been negative. Despite treatment with antibiotics and topical steroids, the eruption has continued to progress. The contributor is seeking suggestions for further evaluation and treatment.
Related Images: All related Images  granulomatous_reaction_1_031008  granulomatous_reaction_2_031008  granulomatous_reaction_3_031008  granulomatous_reaction_4_031008  granulomatous_reaction_5_031008 

DermAtlas: ANKLE - ataxia-telangiectasia
© 2001-2010, DermAtlas
Image Name: granulomatous_reaction_5_031008   File Type: jpg
Diagnosis: ATAXIA-TELANGIECTASIA /
GRANULOMATOUS REACTION /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder
Body Site: ankle / foot   Age: 12 years
Contributor: Hisham Abdel Hafez, MD    
Description: annular and round violaceous plaques with central scale, fibrosis and atrophy
Comments: Two years ago this 12-year-old boy with ataxia-telangiectasia developed painful violaceous plaques on hig right hand and wrist. The lesions slowly progressed and he developed new plaques on his left ankle a year ago. Multiple biopsies have shown granulomatous changes, but special stains and cultures for bacteria, fungi, and mycobacteria have been negative. Despite treatment with antibiotics and topical steroids, the eruption has continued to progress. The contributor is seeking suggestions for further evaluation and treatment.
Related Images: All related Images  granulomatous_reaction_1_031008  granulomatous_reaction_2_031008  granulomatous_reaction_3_031008  granulomatous_reaction_4_031008  granulomatous_reaction_5_031008  granulomatous_reaction_6_031008 

DermAtlas: HAND - ataxia-telangiectasia
© 2001-2010, DermAtlas
Image Name: granulomatous_reaction_4_031008   File Type: jpg
Diagnosis: ATAXIA-TELANGIECTASIA /
GRANULOMATOUS REACTION /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder
Body Site: hand / wrist
arm
  Age: 12 years
Contributor: Hisham Abdel Hafez, MD    
Description: annular and round violaceous plaques with central scale, fibrosis and atrophy
Comments: Two years ago this 12-year-old boy with ataxia-telangiectasia developed painful violaceous plaques on hig right hand and wrist. The lesions slowly progressed and he developed new plaques on his left ankle a year ago. Multiple biopsies have shown granulomatous changes, but special stains and cultures for bacteria, fungi, and mycobacteria have been negative. Despite treatment with antibiotics and topical steroids, the eruption has continued to progress. The contributor is seeking suggestions for further evaluation and treatment.
Related Images: All related Images  granulomatous_reaction_1_031008  granulomatous_reaction_2_031008  granulomatous_reaction_3_031008  granulomatous_reaction_5_031008  granulomatous_reaction_6_031008 

DermAtlas: ANKLE - ataxia-telangiectasia
© 2001-2010, DermAtlas
Image Name: granulomatous_reaction_3_031008   File Type: jpg
Diagnosis: ATAXIA-TELANGIECTASIA /
GRANULOMATOUS REACTION /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder
Body Site: ankle / foot   Age: 12 years
Contributor: Hisham Abdel Hafez, MD    
Description: annular and round violaceous plaques with central scale, fibrosis and atrophy
Comments: Two years ago this 12-year-old boy with ataxia-telangiectasia developed painful violaceous plaques on hig right hand and wrist. The lesions slowly progressed and he developed new plaques on his left ankle a year ago. Multiple biopsies have shown granulomatous changes, but special stains and cultures for bacteria, fungi, and mycobacteria have been negative. Despite treatment with antibiotics and topical steroids, the eruption has continued to progress. The contributor is seeking suggestions for further evaluation and treatment.
Related Images: All related Images  granulomatous_reaction_1_031008  granulomatous_reaction_2_031008  granulomatous_reaction_4_031008  granulomatous_reaction_5_031008  granulomatous_reaction_6_031008 

DermAtlas: ANKLE - ataxia-telangiectasia
© 2001-2010, DermAtlas
Image Name: granulomatous_reaction_2_031008   File Type: jpg
Diagnosis: ATAXIA-TELANGIECTASIA /
GRANULOMATOUS REACTION /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder
Body Site: ankle / foot   Age: 12 years
Contributor: Hisham Abdel Hafez, MD    
Description: annular and round violaceous plaques with central scale, fibrosis and atrophy
Comments: Two years ago this 12-year-old boy with ataxia-telangiectasia developed painful violaceous plaques on hig right hand and wrist. The lesions slowly progressed and he developed new plaques on his left ankle a year ago. Multiple biopsies have shown granulomatous changes, but special stains and cultures for bacteria, fungi, and mycobacteria have been negative. Despite treatment with antibiotics and topical steroids, the eruption has continued to progress. The contributor is seeking suggestions for further evaluation and treatment.
Related Images: All related Images  granulomatous_reaction_1_031008  granulomatous_reaction_3_031008  granulomatous_reaction_4_031008  granulomatous_reaction_5_031008  granulomatous_reaction_6_031008 

DermAtlas: ANKLE - ataxia-telangiectasia
© 2001-2010, DermAtlas
Image Name: granulomatous_reaction_1_031008   File Type: jpg
Diagnosis: ATAXIA-TELANGIECTASIA /
GRANULOMATOUS REACTION /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder
Body Site: ankle / foot   Age: 12 years
Contributor: Hisham Abdel Hafez, MD    
Description: annular and round violaceous plaques with central scale, fibrosis and atrophy
Comments: Two years ago this 12-year-old boy with ataxia-telangiectasia developed painful violaceous plaques on hig right hand and wrist. The lesions slowly progressed and he developed new plaques on his left ankle a year ago. Multiple biopsies have shown granulomatous changes, but special stains and cultures for bacteria, fungi, and mycobacteria have been negative. Despite treatment with antibiotics and topical steroids, the eruption has continued to progress. The contributor is seeking suggestions for further evaluation and treatment.
Related Images: All related Images  granulomatous_reaction_2_031008  granulomatous_reaction_3_031008  granulomatous_reaction_4_031008  granulomatous_reaction_5_031008  granulomatous_reaction_6_031008 

DermAtlas: WRIST - granulomatous reaction
© 2001-2010, DermAtlas
Image Name: at_9_030128   File Type: jpg
Diagnosis: GRANULOMATOUS REACTION /
ATAXIA-TELANGIECTASIA /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder /
lumps & bumps (plaques, nodules, tumors) /
atrophy
Body Site: wrist / hand   Age: 12 years
Contributor: P. van Neer, MD    
Description: confluent violaceous round fibrotic and atrophic plaques
Comments: This 12-year-old boy with ataxia-telangiectasia developed progressive violaceous fibrotic atrophic papules and plaques with overlying telangiectasias on his extremities and trunk. They continue to slowly increase in number and size.
Related Images: All related Images  at_1_030128  at_2_030128  at_3_030128  at_4_030128  at_5_030128  at_6_030128  at_7_030128  at_8_030128 

DermAtlas: HAND - granulomatous reaction
© 2001-2010, DermAtlas
Image Name: at_8_030128   File Type: jpg
Diagnosis: GRANULOMATOUS REACTION /
ATAXIA-TELANGIECTASIA /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder /
lumps & bumps (plaques, nodules, tumors) /
atrophy
Body Site: hand / wrist   Age: 12 years
Contributor: P. van Neer, MD    
Description: confluent violaceous round fibrotic and atrophic plaques
Comments: This 12-year-old boy with ataxia-telangiectasia developed progressive violaceous fibrotic atrophic papules and plaques with overlying telangiectasias on his extremities and trunk. They continue to slowly increase in number and size.
Related Images: All related Images  at_1_030128  at_2_030128  at_3_030128  at_4_030128  at_5_030128  at_6_030128  at_7_030128  at_9_030128 

DermAtlas: HAND - granulomatous reaction
© 2001-2010, DermAtlas
Image Name: at_7_030128   File Type: jpg
Diagnosis: GRANULOMATOUS REACTION /
ATAXIA-TELANGIECTASIA /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder /
lumps & bumps (plaques, nodules, tumors) /
atrophy
Body Site: hand / wrist   Age: 12 years
Contributor: P. van Neer, MD    
Description: confluent violaceous round fibrotic and atrophic plaques
Comments: This 12-year-old boy with ataxia-telangiectasia developed progressive violaceous fibrotic atrophic papules and plaques with overlying telangiectasias on his extremities and trunk. They continue to slowly increase in number and size.
Related Images: All related Images  at_1_030128  at_2_030128  at_3_030128  at_4_030128  at_5_030128  at_6_030128  at_8_030128  at_9_030128 

DermAtlas: HAND - granulomatous reaction
© 2001-2010, DermAtlas
Image Name: at_6_030128   File Type: jpg
Diagnosis: GRANULOMATOUS REACTION /
ATAXIA-TELANGIECTASIA /
IMMUNODEFICIENCY, HEREDITARY
  Category: granulomatous disorder /
lumps & bumps (plaques, nodules, tumors) /
atrophy
Body Site: hand / wrist   Age: 12 years
Contributor: P. van Neer, MD    
Description: confluent violaceous round fibrotic and atrophic plaques
Comments: This 12-year-old boy with ataxia-telangiectasia developed progressive violaceous fibrotic atrophic papules and plaques with overlying telangiectasias on his extremities and trunk. They continue to slowly increase in number and size.
Related Images: All related Images  at_1_030128  at_2_030128  at_3_030128  at_4_030128  at_5_030128  at_7_030128  at_8_030128  at_9_030128 

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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Jan-18-2010
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