Ataxia telangiectasia presenting as hyper IgM syndrome without neurologic signs

A 3-year-old girl of Iraqi descent was well until late infancy, when she developed frequent wheezing and recurrent infections, including otitis media, sinusitis, and pneumonia, for which she was treated with monthly oral antibiotics. She was diagnosed as having asthma and treated with bronchodilators, budesonide, and multiple courses of oral steroids. She had a history of mild eczema and red eyes, diagnosed as an allergy by an ophthalmologist. At 2 years of age, tympanostomy tubes were placed.

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