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Case Reports
. 2020 Jan 17;6(2):96-98.
doi: 10.1016/j.jdcr.2019.10.029. eCollection 2020 Feb.

Vegetative and verrucous plaques in an immunosuppressed patient: Blastomycosis-like pyoderma

Daniel W Cole  1 , Tomas Huerta  2 , Trilokraj Tejasvi  2 , Lori Lowe  2   3
Affiliations
Case Reports

Vegetative and verrucous plaques in an immunosuppressed patient: Blastomycosis-like pyoderma

Daniel W Cole et al. JAAD Case Rep. .
No abstract available

Keywords: BLP, blastomycosis-like pyoderma; bacterial infection; blastomycosis-like pyoderma; immunosuppression; vegetative; verrucous.

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Figures

Fig 1
Fig 1
Blastomycosis-like pyoderma: friable, verrucous to vegetative crusted plaque on the left leg.
Fig 2
Fig 2
Large, ill-defined hyperkeratotic plaque with pustules on the nose and cheek.
Fig 3
Fig 3
Skin biopsy shows serous scale crust and irregular to pseudoepitheliomatous hyperplasia (hematoxylin-eosin stain, original magnification ×100). Inset: The inflammatory infiltrate is composed of histiocytes forming small granulomas and numerous plasma cells (hematoxylin-eosin stain, original magnification ×200).
Fig 4
Fig 4
Complete resolution after treatment with appropriate antibiotics.
See this image and copyright information in PMC

References

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    1. Scuderi S., O'Brien B., Robertson I., Weedon D. Heterogeneity of blastomycosis-like pyoderma: a selection of cases from the last 35 years. Australas J Dermatol. 2017;58(2):139–141. - PubMed
    1. Guidry J., Downing C., Tyring S. Deep fungal infections. blastomycosis-like pyoderma, and granulomatous sexually transmitted infections. Dermatol Clin. 2015;33(3):595–607. - PubMed
    1. Nguyen R., Beardmore G. Blastomycosis-like pyoderma: successful treatment with low-dose acitretin. Australas J Dermatol. 2005;46(2):97–100. - PubMed
    1. Liu H., Zhu J., Hu Q., Rao X. Morganella morganii, a non-negligent opportunistic pathogen. Int J Infect Dis. 2016;50:10–17. - PubMed

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