ALB and Ito hypomelanosis: To save patients with IPA, using literature reviewing, we would find predictors of severity of IPA using previously reported and poor outcome by 2 methods: one was to compare clinical profiles of our experienced 7 cases to verify usefulness of prognostic nutritional index (PNI) calculated by serum albumin (Alb) and total lymphocyte count (TLC) used to predict outcome and severity of IPA, another was to compare our series with previously published hospital-based IPA series.