Multiple adult-onset xanthogranulomas associated with skin dysbiosis: A presenting sign of common variable immune deficiency, supported by next-generation sequencing

• Iman Salem, MD, MS,
• Emma L. Hodson, MS,
• Matthew J. Davis, MD,
• Wahab A. Khan, PhD,
• Edward G. Hughes, PhD,
• Leanne J. Cook, MPH,
• Denise M. Aaron, MD,
• Aravindhan Sriharan, MD

Affiliations

Iman Salem, MD, MS

Department of Dermatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire; Correspondence to: Iman Salem, MD, MS, Department of Dermatology, Dartmouth Hitchcock Medical Center, 18 Old Etna Road, Lebanon, NH 03756.

Emma L. Hodson, MS

Department of Dermatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Matthew J. Davis, MD

Department of Dermatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Wahab A. Khan, PhD

Geisel School of Medicine at Dartmouth College, Lebanon, New Hampshire; Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Edward G. Hughes, PhD

Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Leanne J. Cook, MPH

Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Denise M. Aaron, MD

Department of Dermatology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Aravindhan Sriharan, MD

Geisel School of Medicine at Dartmouth College, Lebanon, New Hampshire; Department of Pathology and Laboratory Medicine, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire