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KMID : 0357920080420040223
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Korean Journal of Pathology
2008 Volume.42 No. 4 p.223 ~ p.225
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A Case Report of Cutaneous Coccidioidomycosis
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Chang Sun-Hee
Kwak Ji-Eun
Kim Han-Seong
Chi Je-Geun
Kwak Yee-Gyung
Park Hai-Jin
Joo Mee
Shim Sang-Hwa
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Abstract
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Coccidioidomycosis, which results from inhaling the spores of Coccidioides species, is endemic in the southwestern United States. The primary infection site is the lung, and dissemination of the disease can occur. We report a case of cutaneous coccidioidomycosis in a 79-year-old Korean woman who presented with purpura on both lower extremities, but no pulmonary symptoms and no history of visiting an endemic area. Microscopically, skin biopsy showed multiple aggregates of granulomas in the dermis. Numerous multinucleated giant cells were associated with the granulomas. Mature and immature fungal spherules, which were 20 to 30 μm in diameter, were present inside and outside the multinucleated giant cells.
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KEYWORD
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Skin, Coccidioidomycosis
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