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Primary cutaneous coccidiodomycosis: case report and review of the literature.
International Journal of Dermatology 2006 Februrary
BACKGROUND: Coccidiodomycosis is a systemic infection caused by Coccidioides immitis, a dimorphic fungus endemic in the south of the USA and the north of Mexico. The disease usually affects the lungs. Primary cutaneous infection is extremely rare. We present a report of a patient with primary cutaneous infection located on the nose. To our knowledge, such a presentation has never previously been reported in the literature.
OBSERVATIONS: The patient had a 3-cm-diameter elevated nodule with a verrucous aspect located on the tip of her nose. The histopathologic features of the lesion were consistent with coccidioidomycosis.
CONCLUSIONS: To our knowledge, this is the first report of primary cutaneous coccidioidomycosis located on the tip of nose.
OBSERVATIONS: The patient had a 3-cm-diameter elevated nodule with a verrucous aspect located on the tip of her nose. The histopathologic features of the lesion were consistent with coccidioidomycosis.
CONCLUSIONS: To our knowledge, this is the first report of primary cutaneous coccidioidomycosis located on the tip of nose.
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