Abscess, Hyperimmunoglobulin E Syndrome, Immunodeficiency, Hereditary - DermAtlas

Contributor

Chris Ha, MD

Diagnosis

abscess hyperimmunoglobulin E syndrome immunodeficiency, hereditary

Body Site

elbow arm

Age

16 years

Pigmentation

light

Organization

Color

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

Comments

A 16 year old boy was admitted to the hospital for evaluation of a 10 pound weight loss, cough, fever, and chills for a month. Several days later he developed tender purpuric papules and vesicles on the elbows, knees and ankles. Skin biopsy showed abscesss in the deep dermis and subcutaneous fat filled with neutrophils and clumps of Gram positive cocci. Multiple abscesses were discovered in his liver and lungs. He had an elevated IgE and family members with findings consistent with hyperimmunoglobulin E syndrome. For more details on his evaluation, diagnosis,and treatment see the CME case entitled "A 16 year old boy with weight loss, fever, chills and a purpuric vesicular rash."

Description

tender purpuric nodules

Image Added

11/1/2001 23:12:41

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Other Resources

PubMed Medline Plus Medscape

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