Hyperimmunoglobulin E Syndrome with Tortuous and Massively Dilated Thoracic and Abdominal Aorta: An Extremely Rare Cardiac Presentation of an Immunodeficiency Disease

Photo clinic: a 21-year-old girl, a known case of hyperimmunoglobulin e syndrome (hies), was referred for cardiologic evaluation. she was born to consanguineous parents. her past medical history was significant for several episodes of pneumonia, otitis media, and cutaneous infections. she presented with generalized dermatitis, which was infected in some regions. staphylococcus aureus was isolated from the infected areas.