A rare clinical presentation of mastocytosis in an infant

Julia Hofmann; Natalia Bień; Dorota Sobolewska-Sztychny; Magdalena Ciążyńska; Małgorzata Skibińska; Joanna Narbutt; Aleksandra Lesiak

doi:10.5114/dr.2024.144654

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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3/2024
vol. 111

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abstract:

Case report

A rare clinical presentation of mastocytosis in an infant

Julia Hofmann

¹

,

Natalia Bień

¹

,

Dorota Sobolewska-Sztychny

²

,

Magdalena Ciążyńska

²

,

Małgorzata Skibińska

²

,

Joanna Narbutt

²

,

Aleksandra Lesiak

^{2, 3}

Student Scientific Research Club of Experimental, Clinical and Procedural Dermatology, Medical University of Lodz, Poland
Department of Dermatology, Pediatric Dermatology and Dermatological Oncology, Medical University of Lodz, Poland
Laboratory of Autoinflammatory, Genetic and Rare Skin Disorders at Department of Dermatology, Pediatric Dermatology and Dermatological Oncology, Medical University of Lodz, Poland

Dermatol Rev/Przegl Dermatol 2024, 111, 230-333

DOI: https://doi.org/10.5114/dr.2024.144654

Online publish date: 2024/11/08

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Introduction:
Mastocytosis is a heterogenous group of myeloproliferative neoplasm, which is characterized by excessive proliferation and accumulation of mast cells in organs. Cutaneous mastocytosis is a type of mastocytosis that is most common in children and has different clinical presentations.

Objective:
Our aim was to present the atypical presentation of cutaneous mastocytosis in infant.

Case report:
A 9-month-old girl was admitted with diffuse erythematous lesions with blisters and erosions, which appeared 4 months before the admission. The patient was treated unsuccessfully with antibiotics due to suspected bacterial infection. Clinical examination revealed a positive Darier's sign and laboratory work detected. A skin biopsy revealed mast cell dermal infiltrate confirmed by immunohistochemistry staining corresponding to cutaneous mastocytosis.

Conclusions:
Cutaneous mastocytosis can have different clinical manifestations, which can give a potential diagnostic difficulty and prolong the time of diagnosis.

keywords:

A rare clinical presentation of mastocytosis in an infant

Julia Hofmann 1 , Natalia Bień 1 , Dorota Sobolewska-Sztychny 2 , Magdalena Ciążyńska 2 , Małgorzata Skibińska 2 , Joanna Narbutt 2 , Aleksandra Lesiak 2, 3

cutaneous mastocytosis, myeloproliferative neoplasm, Darier's sign

Julia Hofmann

¹

,

Natalia Bień

¹

,

Dorota Sobolewska-Sztychny

²

,

Magdalena Ciążyńska

²

,

Małgorzata Skibińska

²

,

Joanna Narbutt

²

,

Aleksandra Lesiak

^{2, 3}