Indian Journal of Dermatology
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CASE REPORT
Year : 2012  |  Volume : 57  |  Issue : 2  |  Page : 133-135

Blastomycosis presenting as solitary nodule: A rare presentation


Department of Dermatology,Venereology and Leprosy, JLN Medical College and Hospitals, Ajmer, Rajasthan, India

Correspondence Address:
Ashish Dhamija
Room no. 25, Resident Doctors Hostel, J.L.N. Medical College and Hospital, Ajmer, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.94285

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Blastomycosis is a chronic granulomatous and suppurative mycosis, caused by Blastomyces dermatitidis, which in the great majority of cases presents as a primary pulmonary disease. Primary cutaneous blastomycosis is very rare. We present a 57-year-old female patient with a solitary, slowly progressive nodule over upper lip of 2½ months duration. Initially, differential diagnosis of cutaneous leishmaniasis, pyoderma and deep mycoses were entertained. Slit smear preparation was suspicious of deep mycotic infection which was subsequently confirmed by biopsy and culture.


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