Noma-like ulcers on the tongue in Athabascan SCID

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.