Skin lesions: Hematogenous

Question 1

Blastomycosis

Skin lesions: Hematogenous

Answer 1

Exposure: South Eastern and South Central United States.

Verrucous nodule or ulcer.

Question 2

Coccidioidomycosis

Skin lesions: Hematogenous

Answer 2

Southwest United States.

Varies from papule, to verrucous mass to abscess(es).

Question 3

Cryptococcosis

Skin lesions: Hematogenous

Answer 3

Papule with central umbilication or ulcer

Question 4

Ecthyma gangrenosum

Skin lesions: Hematogenous

Answer 4

Necrotic ulcer in neutropenic patient with pseudomonas bacteremia but also other bacteria and fungi

Question 5

Histoplasmosis

Skin lesions: Hematogenous

Answer 5

Central USA and Mexico.

Small nodules may ulcerate

Question 6

Leprosy: Tuberculoid/Lepromatous

Skin lesions: Hematogenous

Answer 6

Tuberculoid: Anesthetic plaques
Lepromatous: Painless nodules.

Question 7

Nocardiosis

Skin lesions: Hematogenous

Answer 7

Immunosuppressed febrile patient; Cutaneous nodules.

Question 8

Paracoccidioidomycosis

Skin lesions: Hematogenous

Answer 8

South America. Indolent nodules

Question 9

Pyoderma gangrenosum

Skin lesions: Hematogenous

Answer 9

Painful and rapidly progressive destructive ulcers, most often on the legs.

Characteristically associated with inflammatory bowel disease, but also arthritides and hematologic disease. Pathology is non-specific.