Primary cutaneous cryptococcosis.
A 53-year-old man, a pigeon fancier, with long-standing asthma, treated for years with systemic corticosteroids, developed a fast-growing mass on his right wrist. The diagnosis of cryptococcosis was established by histology and culture of tissue which yielded Cryptococcus neoformans. Oral treatment with ketoconazole for 3 months resulted in a complete cure with residual hyperpigmentation and minute scars. During a 10-month follow-up, the patient was free of recurrences.
D000818:Animals; D001249:Asthma / Q000188:drug therapy; D010856:Columbidae; D003453:Cryptococcosis / Q000188:drug therapy* / Q000209:etiology; D003881:Dermatomycoses / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D007654:Ketoconazole / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use
D011239:Prednisolone; D007654:Ketoconazole