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An Unusual Case of Coccidioidomycosis Presenting With Skin Lesions

Noor, Omar BS; Rao, Mohammad BS; Rao, Babar K MD

The American Journal of Dermatopathology: October 2008 - Volume 30 - Issue 5 - p 481-483
doi: 10.1097/DAD.0b013e3181728a08
Extraordinary Case Report

A 42-year-old white male without prior skin disease presented 8 months ago with chest pain, fever, and coughing to his primary physician. At that point, he had no skin lesions. The diagnosis was made by standard blood tests. The patient completed treatment and was symptom free for 8 months until he presented to his physician again with skin lesions on his right cheek and extremities. The patient was referred to our dermatology clinic for further evaluation. A complete skin examination revealed lesions on his face, extremities, and back. The lesions on his right face were 8 × 10-mm erythematous papules and nodules coalescing into a plaque. A biopsy was taken from his right cheek lesions.

From the Department of Dermatology, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Reprints: Omar Noor, BS, 3 Washington Circle, NW, Washington, DC 20037 (804) 937 07066 (e-mail:

© 2008 Lippincott Williams & Wilkins, Inc.