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be carefull!!! dont forget to check COLD ABCESSES

JOB'S syndrome has a similar presentation too Eczema + Petichiae + Immunodeficieny but it has COLD ABCESSES.... USMLE may confuse u with it...

It is characterized by recurrent "cold" staphylococcal infections, unusual eczema-like skin rashes, severe lung infections that result in pneumatoceles (balloon-like lesions that may be filled with air or pus or scar tissue) and very high concentrations of the serum antibody IgE. Inheritance can be autosomal dominant, or recessive, and autosomal dominant form of the disease; these patients have problems with their bones including recurrent fractures and scoliosis. Many patients with autosomal dominant hyper IgE syndrome fail to lose their primary teeth and have two sets of teeth simultaneously.
 
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