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Published on: June 13, 2018
[Cutaneous blastomycosis revealing a corticoadenoma]
M El Haouri1, O Sedrati, Y Erragragui
1Service de Dermatologie, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
Background:
Blastomycosis is an uncommon chronic granulomatosis caused by Blastomyces dermatitidis. We present a case with a skin localization that disclosed malignant corticoadenoma.
Case Report:
A 32-year-old man consulted for inflammatory nodules of the face and lower limbs. The histological examination of a nodule biopsy was in favour of blastomycosis. Ketoconazole treatment was ineffective. Amphotericin B provided cure of the skin lesions. Search for extension disclosed a malignant corticoadrenoma.
Discussion:
Blastomycosis is very rare in Morocco. The portal is usually the lung. Unique skin involvement is very exceptional. To our knowledge this is the first report of a blastomycosis-corticoadenoma association. The clinical situation may be alarming in immunodepressed subjects. Amphotericin B treatment is indicated.
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