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Mycosis-like Pyoderma

Mycosis-like Pyoderma Abstract The purpose of this paper is to present a hitherto undefined entity which exhibits morphologic features usually associated with mycotic granulomas, North American blastomycosis in particular; the disorder, however, is nothing more than an unusual, and perhaps not so uncommon, tissue reaction to a secondary bacterial infection. Report of Two Cases Case 1.—Ten years before his hospital admission, a 61-year-old Negro tailor first noted a circular, crusted lesion about an inch in diameter on the dorsum of the left hand. There was no preceding trauma. The lesion, not studied bacteriologically or mycologically, cleared promptly with intramuscular penicillin therapy. Four years later another similar lesion occurred at a repeatedly traumatized site on the anterior aspect of the left shin. This lesion, still present at the time of admission, had progressed by gradual peripheral extension and central scarring. Two years ago similar new lesions appeared on the References 1. Pillsbury, D. M., and Kligman, A. M.: Some Current Problems in Cutaneous Bacteriology , in Modern Trends in Dermatology (2nd Series) , edited by R. M. B. MacKenna, London, Butterworth & Co., Ltd., 1954, Chap. 11. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-5359
DOI
10.1001/archderm.1957.01550130125015
Publisher site
See Article on Publisher Site

Abstract

Abstract The purpose of this paper is to present a hitherto undefined entity which exhibits morphologic features usually associated with mycotic granulomas, North American blastomycosis in particular; the disorder, however, is nothing more than an unusual, and perhaps not so uncommon, tissue reaction to a secondary bacterial infection. Report of Two Cases Case 1.—Ten years before his hospital admission, a 61-year-old Negro tailor first noted a circular, crusted lesion about an inch in diameter on the dorsum of the left hand. There was no preceding trauma. The lesion, not studied bacteriologically or mycologically, cleared promptly with intramuscular penicillin therapy. Four years later another similar lesion occurred at a repeatedly traumatized site on the anterior aspect of the left shin. This lesion, still present at the time of admission, had progressed by gradual peripheral extension and central scarring. Two years ago similar new lesions appeared on the References 1. Pillsbury, D. M., and Kligman, A. M.: Some Current Problems in Cutaneous Bacteriology , in Modern Trends in Dermatology (2nd Series) , edited by R. M. B. MacKenna, London, Butterworth & Co., Ltd., 1954, Chap. 11.

Journal

A.M.A. Archives of DermatologyAmerican Medical Association

Published: Jan 1, 1957

References