Perinatal-lethal Gaucher disease presenting with blueberry muffin lesions

Pediatr Dermatol. 2021 Sep;38(5):1357-1358. doi: 10.1111/pde.14735. Epub 2021 Aug 2.

Abstract

"Blueberry muffin baby" is an expression applied to newborns displaying a generalized purpuric rash caused by dermal erythropoiesis. This presentation is typically associated with TORCH (toxoplasmosis, other, rubella, cytomegalovirus, and herpesvirus) complex infections. However, alternative diagnoses should be considered, including other infections, neoplastic diseases, congenital vascular lesions, and metabolic diseases. We report a case of perinatal-lethal-type Gaucher disease presenting with cholestasis, hepatosplenomegaly, persistent thrombocytopenia, and blueberry muffin-like skin lesions.

Keywords: Gaucher disease; blueberry muffin baby; cholestasis; hepatosplenomegaly; thrombocytopenia.

Publication types

  • Case Reports

MeSH terms

  • Exanthema*
  • Female
  • Gaucher Disease* / complications
  • Gaucher Disease* / diagnosis
  • Humans
  • Infant, Newborn
  • Pregnancy
  • Purpura*
  • Skin Diseases*
  • Syndrome