title: Cutaneous ulcer in an immunosuppressed patient with adult onset Still's disease: primary cutaneous histoplasmosis?
abstract: Histoplasmosis is caused by the dimorphic fungus Histoplasma capsulatum.Primary infection occurs through inhalation of spores from the air. Immunocompetent individuals are usually asymptomatic, but may develop pulmonary disease. Immunocompromised patients tend to present systemic histoplasmosis with cutaneous lesions occurring by secondary invasion. In this case report, we describe a probable primary cutaneous histoplasmosis (PCH) in a patient with adult onset Still's disease under immunosuppression.
authors.affiliation: Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Michelle Larissa Zini
authors.initials: ML
authors.lastname: Lise
authors.affiliation: Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Ronaldo Nunes
authors.initials: RN
authors.lastname: Godinho
authors.affiliation: Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Flávia Moojen
authors.initials: FM
authors.lastname: Brollo
authors.affiliation: Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Henrique Luiz
authors.initials: HL
authors.lastname: Staub
mesh_terms: D000328:Adult; D001706:Biopsy; D003881:Dermatomycoses / Q000276:immunology* / Q000382:microbiology / Q000473:pathology; D005260:Female; D006658:Histoplasma; D006660:Histoplasmosis / Q000276:immunology* / Q000473:pathology; D006801:Humans; D016867:Immunocompromised Host / Q000276:immunology*; D012883:Skin Ulcer / Q000276:immunology* / Q000382:microbiology / Q000473:pathology; D016706:Still's Disease, Adult-Onset / Q000276:immunology* / Q000382:microbiology