Blastomycosis-like pyoderma: response to systemic retinoid therapy.
Blastomycosis-like pyoderma is a proliferative tissue response with multifactorial etiologies that may mimic other inflammatory and neoplastic skin disorders. It often occurs on sun damaged skin of immunocompromised patients. We report a case of blastomycosis-like pyoderma in a patient with underlying metastatic medullary carcinoma of the thyroid receiving treatment with sorafenib (a multikinase inhibitor). Prior treatments were unsuccessful. Our treatment with oral acitretin resulted in significant improvement.
Kobraei
Kathy B
KB
Division of Dermatology, University of Florida, Gainesville, Florida 32610, USA. kathy.kobraei@medicine.ufl.edu
Wesson
Stanton K
SK
D017255:Acitretin / Q000008:administration & dosage / Q000627:therapeutic use*; D000284:Administration, Oral; D000368:Aged; D001706:Biopsy; D001759:Blastomycosis / Q000175:diagnosis* / Q000188:drug therapy* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D007641:Keratolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D008297:Male; D011711:Pyoderma / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology
D007641:Keratolytic Agents; D017255:Acitretin