[Cutaneous blastomycosis revealing a corticoadenoma].
BACKGROUND
Blastomycosis is an uncommon chronic granulomatosis caused by Blastomyces dermatitidis. We present a case with a skin localization that disclosed malignant corticoadenoma.


METHODS
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.


CONCLUSIONS
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.
El Haouri
M
M
Service de Dermatologie, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
Sedrati
O
O
Erragragui
Y
Y
Ghfir
M
M
Labraimi
A
A
Zrara
I
I
Baba
N
N
El Alaoui
N
N
Sekkat
A
A
D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000175:diagnosis*; D018246:Adrenocortical Adenoma / Q000150:complications* / Q000175:diagnosis*; D000328:Adult; D001759:Blastomycosis / Q000150:complications*; D006801:Humans; D008297:Male