Blastomycosislike Pyoderma: Verrucous Hyperpigmented Plaques on the Pretibial Shins.

Cutis

Dr. Cotter is from the Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison. Dr. Cheng is from the Division of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles. Dr. Marathe is from Children's Natio

Published: December 2021


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http://dx.doi.org/10.12788/cutis.0420DOI Listing

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Blastomycosis-like pyoderma (BLP) is an uncommon tissue response possibly to bacterial infection that presents as vegetative skin lesions usually in immunocompromised patients. Staphylococcus aureus is the most frequent pathogen implicated in BLP. Here, we report the case of a 32-year-old man who had ulcerative vegetating lesions on extremities for 3 months over preexisting recalcitrant tinea lesions.

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Blastomycosis-like pyoderma is a rare cutaneous disease presenting as solitary or multiple verrucous or ulcerated plaques and nodules in a susceptible patient. The diagnostic criteria include characteristic verrucous plaques with pustules and elevated borders, histopathologic findings of pseudoepitheliomatous hyperplasia with abscesses, growth of at least one bacterium in tissue culture, and exclusion of other infectious sources. This report describes a case of a 62-year-old man with poorly controlled type 2 diabetes mellitus who presented with plaques, nodules, and ulcers in both groins and the right ankle.

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Blastomycosislike Pyoderma: Verrucous Hyperpigmented Plaques on the Pretibial Shins.

Cutis

December 2021

Dr. Cotter is from the Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison. Dr. Cheng is from the Division of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles. Dr. Marathe is from Children's Natio

View Article and Find Full Text PDF