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Fourteen-year-old male patient, born and resident in São João dos Patos (Maranhão\nState), was seen at the HRAN/SES/DF Dermatology Service, with a history of keratotic\npapulonodular-verrucous lesions on the torso, and both upper and lower limbs. He also\npresented with areas of alopecia and an extremely pruriginous retroauricular\nlichenification ( and ).\nThe patient had a prominent forehead and a broad nose (). He had antecedents of: pneumonia, otitis and recurrent diarrhea\nsince four months of age. His brother died of pneumonia at four months of age; and there\nwas no history of familial consanguinity. Laboratory work-up showed: leukocytosis\n(60.900/mm3) with eosinophilia (90%), IgE levels of 11.600 mg/dL; negative\nanti-HIV 1 and 2 tests and negative anti-Toxocara and anti-Aspergillus. Besides the\natopic eczema, we diagnosed multiple vulgar warts and molluscum contagiosum.