Cryptococcus, Immunodeficiency, Acquired, Fungal Infection, Deep - DermAtlas

Contributor

Simon Yoo, MD

Diagnosis

cryptococcus immunodeficiency, acquired fungal infection, deep

Body Site

thigh

Age

55 years

Pigmentation

light

Organization

Color

purple yellow

Morphology

ulcerated (erosion / ulcer)

Pattern

asymmetric

Comments

This 55 year old man with pemphigus vulgaris treated with high dose oral prednisone for 1 year developed tender ulcerated violaceous nodules and plaques on his thighs a month earlier. He subsequently developed fevers, chills, night sweats, and headaches. A skin biopsy showed organisms in the deep dermis and fat consistent with cryptococcus. The organism was also found in spinal fluid. His symptoms and rash had improved since he was started on parenteral amphotericin.

Description

tender indurated ulcerated violaceous 5 cm plaque

Image Added

8/19/2002 23:06:31

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Other Resources

PubMed Medline Plus Medscape

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