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We report an 18\u2010month\u2010old girl with Griscelli syndrome type 2 who presented to the dermatology department for cutaneous granulomas that developed following live\u2010attenuated vaccination. Two compound heterozygous variants in the <jats:italic>RAB27A<\/jats:italic> gene were subsequently identified. She developed hemophagocytic lymphohistiocytosis, the key immunological concern, at age 5\u00a0years.<\/jats:p>","DOI":"10.1111\/pde.14370","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T14:45:00Z","timestamp":1600872300000},"page":"194-197","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Cutaneous granulomas as the presenting manifestation of Griscelli syndrome type 2"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9920-3304","authenticated-orcid":false,"given":"Ryan","family":"Gotesman","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Ottawa  Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Ramien","sequence":"additional","affiliation":[{"name":"Division of Community Pediatrics Department of Pediatrics Alberta Children's Hospital  Calgary AB 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