Ataxia-telangiectasia, Granulomatous Reaction, Immunodeficiency, Hereditary - DermAtlas

Contributor

Hisham Abdel Hafez, MD

Diagnosis

ataxia-telangiectasia granulomatous reaction immunodeficiency, hereditary

Body Site

ankle foot

Age

12 years

Pigmentation

Organization

grouped, clustered

Color

purple

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

asymmetric

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.

Description

annular and round violaceous plaques with central scale, fibrosis and atrophy

Image Added

10/8/2003 22:00:31

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Other Resources

PubMed Medline Plus Medscape

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