Scalp Lesions in a Pediatric Patient with Hyper IgM Syndrome: Clinical and Histologic Mimicry of Cryptococcus neoformans Infection

J Pediatr. 2018 Jan:192:256-258. doi: 10.1016/j.jpeds.2017.08.065. Epub 2017 Sep 28.

Abstract

We report a case of cutaneous cryptococcosis due to Cryptococcus neoformans in a pediatric patient with hyper IgM syndrome with scalp lesions that resembled tinea capitis on gross examination and mimicked juvenile xanthogranuloma on histologic examination. This case highlights the importance of considering cutaneous cryptococcosis in patients with hyper IgM syndrome.

Keywords: Cryptococcus neoformans; cutaneous; hyper IgM; juvenile xanthogranuloma.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Cryptococcosis / diagnosis*
  • Cryptococcosis / immunology
  • Cryptococcosis / pathology
  • Diagnosis, Differential
  • Humans
  • Hyper-IgM Immunodeficiency Syndrome / complications*
  • Hyper-IgM Immunodeficiency Syndrome / microbiology
  • Male
  • Scalp Dermatoses / diagnosis*
  • Scalp Dermatoses / immunology
  • Scalp Dermatoses / microbiology
  • Scalp Dermatoses / pathology
  • Tinea Capitis / diagnosis
  • Xanthogranuloma, Juvenile / diagnosis