Abstract
A painless progressive verrucous skin plaque in an endemic area should raise suspicion for blastomycosis resulting in prompt biopsy with fungal stains and culture. Skin is a common extrapulmonary site. Itraconazole is treatment of choice.
Highlights
| 779 it had become smooth and faded. (Figure 3) Itraconazole was stopped at 6 months, and patient continued to do well clinically without any new symptoms or lesions
A painless progressive verrucous skin plaque in an endemic area should raise suspicion for blastomycosis resulting in prompt biopsy with fungal stains and culture
A 57-year-old Caucasian man from Indiana was referred to infectious diseases clinic for a skin lesion
Summary
| 779 it had become smooth and faded. (Figure 3) Itraconazole was stopped at 6 months, and patient continued to do well clinically without any new symptoms or lesions. A painless progressive verrucous skin plaque in an endemic area should raise suspicion for blastomycosis resulting in prompt biopsy with fungal stains and culture.
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