A Fungal Foe From Dust

A 44-year-old male develops nonpruritic Skin Lesions after a respiratory illness. Explore the diagnosis based on skin biopsy and clinical history.

Disseminated cutaneous blastomycosis


A 44-year-old male construction worker presented to the dermatology clinic with nonpruritic skin lesions over his face, chest, back, arms, and legs. Six months earlier, he had fever, cough, and vomiting for 1 week. Skin biopsy showed pseudoepitheliomatous hyperplasia, intraepidermal neutrophilic abscesses, and round yeast forms with broad-based budding. What is the likely diagnosis?

What is the most likely diagnosis?

Basal cell carcinoma
Giant keratoacanthoma
Pyoderma gangrenosum
Disseminated cutaneous blastomycosis
Cutaneous leishmaniasis

Blastomyces dermatitidis, Disseminated cutaneous blastomycosis, Fungal Infection, Infectious Disease, Skin Biopsy

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