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Skin lesions in histoplasmosis

机译:组织胞浆菌病的皮肤病变

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摘要

Histoplasmosis is a granulomatous infection caused by Histoplasma capsulatum, a dimorphic fungus. It is distributed worldwide and prevalent in certain regions of North and Central America. Pulmonary involvement is the most common clinical presentation. Cutaneous manifestations are reported to occur in 10% to 25% of AIDS patients with disseminated histoplasmosis. The skin lesions are polymorphic papules, plaques with or without crusts, pustules, nodules, mucosal ulcers, erosions, punched out ulcers, lesions resembling molluscum contagiosum, acneiform eruptions, erythematosus papules and keratotic plaques, purpuric lesions, and localized and generalized vegetant forms of dermatitis, sometimes an eruption similar to rosacea, keratotic papules with transepidermal elimination, polymorphous erythema, erythroderma syndromes, pyoderma gangrenosum, panniculitis, diffuse hyperpigmentation, abscesses, and cellulitis.
机译:组织胞浆菌病是由荚膜组织胞浆菌(一种二形性真菌)引起的肉芽肿性感染。它分布于世界各地,并在北美和中美洲的某些地区盛行。肺部受累是最常见的临床表现。据报道,在皮肤弥漫性组织胞浆病的10%至25%的AIDS患者中出现皮肤症状。皮肤病变是多形丘疹,有或没有硬皮的斑块,脓疱,结节,粘膜溃疡,糜烂,穿孔的溃疡,类似于软疣的病变,痤疮样皮疹,红斑丘疹和角化斑和局部化脓性,化脓性病变,皮炎,有时类似于红斑痤疮的喷发,消除表皮的角化丘疹,多形性红斑,红皮病综合症,坏疽性脓皮病,脂膜炎,弥漫性色素沉着,脓肿和蜂窝织炎。

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