title: Cutaneous histoplasmosis in renal transplant recipients.
abstract: Cutaneous histoplasmosis is a rare entity, although it can be seen in a substantial portion of renal transplant recipients with disseminated disease. The prognosis of disseminated disease is worse than isolated cutaneous involvement, and significant delays in diagnosis are reported. We reviewed reports of cutaneous histoplasmosis with and without dissemination in the setting of renal transplantation to examine incidence, timing of diagnosis, clinical features, and prognosis. Remarkable morphologic variability and the non-specific appearance of skin findings suggest that tissue culture is required for definitive diagnosis. Cutaneous lesions represent an easily accessible source for early diagnosis.
authors: Department of Dermatology, University Hospitals Case Medical Center, Cleveland, OH, USA.
authors: N Z
authors: NZ
authors: Sun
authors: J J
authors: JJ
authors: Augustine
authors: M R
authors: MR
authors: Gerstenblith
mesh_terms: D003881:Dermatomycoses / Q000453:epidemiology* / Q000382:microbiology / Q000401:mortality; D006658:Histoplasma / Q000302:isolation & purification*; D006660:Histoplasmosis / Q000453:epidemiology* / Q000382:microbiology / Q000401:mortality; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D066027:Transplant Recipients
keywords: Histoplasma capsulatum; cutaneous histoplasmosis; disseminated histoplasmosis; renal transplantation