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MedPix® Medical Image DatabaseDisease Topic 1297
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Contributor: Chad S Hendrickson - Uniformed Services University
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More Like This ? North American Blastomycosis
Factoid 1297 - Created: 2001-03-08 22:02:14-05 - Modified: 2002-09-19 07:14:37-04
Case #36, 20th Annual Uniformed Services Dermatology Seminar

Presenter: Mark S. Lee, MAJ, MC, USA

A 37 year old male complained of a 4-month history of enlarging lesions on the left side of his nose and right side of his abdomen. He stated that these sites had been traumatized by a piece of guitar when he was involved in a fight. He had also noticed a lump on his left chest.

PE: Approximately 2 X 3 cm ulcerated red nodule on the left nasal sidewall. A 3 X 5 cm erythematous verrucous appearing plaque was noted on the right side of his abdomen. Also, a 3 X 4 cm tender dermal nodule was noted on the left side of his chest near the mid-axillary line.

Labs: Fungal culture grew Blastomyces dermatitidis

Histopathologic findings: Suppurative and granulomatous dermatitis with pseudoepitheliomatous hyperplasia was seen. Fungal stain (GMS) revealed 12-15 micron sized, round to oval fungi.

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Prepared by: Chad S Hendrickson
Affiliation: Uniformed Services University - || - Author Profile
Approved by: Leonard C. Sperling
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