Primary Diagnosis |
Chronic mucocutaneous candidiasis, recurrent skin rash, pityriasis lichenoides |
Chronic mucocutaneous candidiasis |
Age at onset/presentation |
2 months |
1 year |
Secondary diagnoses |
Moniliasis episodes recur as soon as prophylaxis is interrupted. Experiences cutaneous rash at extremities, neck and intertriginous skin. |
Chronic intertrigo, folliculitis |
Lymphadenenopathy |
no |
no |
Splenomegaly |
no |
no |
Hematologic abnormalities |
no |
no |
Malignancy/lymphoma |
no |
^ no |
Autoimmunity or autoinflammatory disease |
no |
no |
Immunodeficiency or susceptibility to infection |
yes, chronic mucocutaneous candidiasis, recurrent/destructive Otitis Media |
yes, chronic mucocutaneous candidiasis |
Liver abnormalities |
no |
no |
Antibody Abnormalities |
no |
no |
Lung involvement |
no |
no |
Height (percentile) |
10–25th |
25–50th |
Weight (percentile) |
50th |
25–50th |
Other significant symptoms |
no |
no |
Immunological Workup |
|
|
Quantitative Immunoglobulins (mg/dl) |
IgG: 1260 (876–2197) IgA: 73 (108–447) IgM: 75 (75–448) IgG1: 758 (547–1474) IgG2: 363 (77–706) IgG3: 35 (36–238) IgE: 686 ng/ml |
IgG: 1490 (431–1803) IgM: 87 (126–449) IgA: 138 (45–164) |
CBC with differential |
WBC: 10800 (4500–13000) ANC: 6000 (1500–8000) ALC: 2800 (1400–4500) Eo: 1000 (44– 400) Hb: 11.4 (11– 16) Plt: 338000 (150000– 400000) |
WBC: 8500 (4500–13800), ANC: 2700 (1500–8600), ALC 4900 (1800–5600), Eo: 100, Hb 9.6 (11–14), Plt 335000 (182000–564000) |
Flow Cytometry |
CD3: 50%(47–76) CD3+4: 33% (23–48) CD3+8: 27% (25–50) CD19: 30% (14–44) CD16+56: 22% (4–23) |
CD3+: 50% (55–88), CD3 +4+: 43% (24–50), CD3+8+:16% (17–42), CD19 +:14% (7–22), CD3−16/56+:14% (4–29) |