Letterer siwe disease.
A 1-year-old boy presented with recurrent pyoderma-like lesions and purulent ear discharge of 6 months duration. The biopsy helped to confirm Letterer Siwe disease. Purpuric lesion on palms and soles which is a reputedly lethal sign of the disease was also present in the child who died within a few days.
Department of Dermato-Venereology, Medical College, Thiruvananthapuram-695011, Kerala, India.
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George
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Yogirajan