title: Cutaneous blastomycosis masquerading as pyoderma gangrenosum.
abstract: Cutaneous blastomycosis (CB) is associated with a variety of skin manifestations. Among other entities, CB may be mistaken for pyoderma gangrenosum due to overlap of findings on histopathologic examination. We report a case of CB, initially diagnosed as pyoderma gangrenosum and treated with steroids, leading to disseminated blastomycosis and acute respiratory distress syndrome (ARDS).
authors: Indiana University School of Medicine, Internal Medicine Residency Program, Indiana University, Indianapolis, Indiana, USA.
authors: Marwan M
authors: MM
authors: Azar
authors: Ryan F
authors: RF
authors: Relich
authors: Bryan H
authors: BH
authors: Schmitt
authors: Robert W
authors: RW
authors: Spech
authors: Chadi A
authors: CA
authors: Hage
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001759:Blastomycosis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology*; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D003584:Cytological Techniques; D003937:Diagnosis, Differential; D006651:Histocytochemistry; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications; D008297:Male; D008853:Microscopy; D017511:Pyoderma Gangrenosum / Q000473:pathology*; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012867:Skin / Q000473:pathology; D013256:Steroids / Q000008:administration & dosage
chemical_list: D000893:Anti-Inflammatory Agents; D013256:Steroids