title: [Cutaneous blastomycosis revealing a corticoadenoma].
abstract: 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.
authors.affiliation: Service de Dermatologie, Hôpital Militaire d'Instruction Mohammed V, Rabat, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: El Haouri
authors.forename: O
authors.initials: O
authors.lastname: Sedrati
authors.forename: Y
authors.initials: Y
authors.lastname: Erragragui
authors.forename: M
authors.initials: M
authors.lastname: Ghfir
authors.forename: A
authors.initials: A
authors.lastname: Labraimi
authors.forename: I
authors.initials: I
authors.lastname: Zrara
authors.forename: N
authors.initials: N
authors.lastname: Baba
authors.forename: N
authors.initials: N
authors.lastname: El Alaoui
authors.forename: A
authors.initials: A
authors.lastname: Sekkat
mesh_terms: 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