Diagnosis: North American Blastomycosis
Description: Superficial crusted plaque on the cheek
Morphology: Crusts
Site: Cheek
Sex: M
Age: 34
Type: Clinical
Submitted By: Ian McColl
Differential DiagnosisHistory:
These are some old photos of north american blastomycosis . The crusts on the surface are very typical of this condition.
Blastomycosis is a rare infectious disease caused by the fungus Blastomyces dermatitidis. This fungus grows and is inhaled through mold spores. In the body the fungus converts to yeasts and invades the lungs. It travels throughout the body through the blood. Blastomycosis usually affects people with a compromised immune system.
Involvement of the skin is very common in individuals with Blastomycosis. Wart-like (verrucous) and small raised pus-filled (papulopustular) lesions are common. They may be violet colored and have very small abscesses around the borders of the lesions. Nodular lesions may be present under the skin (subcutaneous) and are usually accompanied by active fungal infection of the lungs.