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Noma-like ulcers on the tongue in Athabascan SCID

Noma-like ulcers on the tongue in Athabascan SCID
A well-demarcated, punched-out, deep ulcer on the whole tip of the tongue.
Reproduced with permission from: Kwong PC, O'Marcaigh AE, Howard R, et al. Oral and genital ulceration: A unique presentation of immunodeficiency in Athabascan-speaking American Indian children with severe combined immunodeficiency. Arch Dermatol 1999; 135:927. Copyright © 1999 American Medical Association. All rights reserved.
Graphic 131970 Version 9.0