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CASE 408 : DIFFUSE MACULAR LESIONS on SKIN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Baby 6 month old, onset with fever and skin eruption for 3 months, starting in the legs and going to face and full body.  
Itching, in beginning lesion is red skin papula  and  progressing  to macular  shape (see foto of  face,  body.)  Dermatologist  represented the lesion with crash and trap which  is  swelling  as  bullus (foto). Darier ‘s sign positive).




Blood tests  are normal .
Ultrasound  of this skin lesion detected  intra dermal hypoechoic infiltration, hypovascular pattern ( US 1, US 2).



What is your suggestion for diagnosis ?
Biopsy  of the  skin lesion and  microscopic report with histobiochemistry staining is  MASTOCYTOSIS. 




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