Vascular nodules and plaques resembling chronic mucocutaneous candidiasis in a patient with a low interleukin 2 level

Thomas N. Helm, Leonard H. Calabrese, David L. Longworth, Barbara Barna, Aries Y. Liu, Wilma F. Bergfeld

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A 21-year-old woman had a lifelong history of widespread friable vascular nodules and plaques. Her condition had previously been diagnosed as chronic mucocutaneous candidiasis because of her clinical appearance. Routine studies of immune function were performed in addition to a comparison of cytokine secretion in mononuclear leukocytes of our patient and normal controls. Interleukin 2 secretion by phytohemagghitinin-stimulated mononuclear leukocytes was deficient when compared with six healthy donors ( <300 pg/ml vs 2108 ± 336 pg/ml). Interleukin 2 deficiency may be a causative factor in cases of unusual vascular proliferation. Treatment with methotrexate, which increases interleukin 2 activity and inhibits neovascularization in vitro, was helpful in our patient.

Original languageEnglish (US)
Pages (from-to)473-477
Number of pages5
JournalJournal of the American Academy of Dermatology
Issue number3
StatePublished - 1993

All Science Journal Classification (ASJC) codes

  • Dermatology

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