LB974 Blastomycosis-like pyoderma: A diagnosis of correlation

Abstract

A 63-year-old fisherman presented for a chronic and progressive eruption, beginning on his right hand and extending up his right arm over the past 8 years. He reported that he spent time in forests and handled raw fish without gloves frequently; he also recalled an inoculation injury while in a forest. The patient denied previous exposure to halogens. On examination, he had multiple edematous verrucous plaques with crust and elevated borders on the dorsal and ventral aspects of his right hand and right upper extremity.