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February 1957

Cutaneous Cryptococcosis: Presentation of a Case and a Review of Previously Reported Cases

Author Affiliations


From the Department of Dermatology and Syphilology, Dr. Loren W. Shaffer, Professor, Wayne University College of Medicine.

AMA Arch Derm. 1957;75(2):262-263. doi:10.1001/archderm.1957.01550140106017

The first case of cryptococcosis (torulosis) was described in 1895 by Busse and Buschke from Grifswald, Germany. This was a case of a tibial abscess with regional lymphadenitis.1 The usual form of the disease is the generalized systemic or cerebrospinal type. The cutaneous involvement is recognized infrequently, and the literature contains few authentic examples.2-8 Primary cutaneous cryptococcosis in which the skin lesions are the only manifestation of the disease without a preceding generalized involvement is very rare.9

Report of Case

A 60-year-old white man from Detroit first developed a "boil" beneath the left ear. This was treated with antibiotics and a sulfonamide drug, but to no avail. A biopsy was performed in September, 1955, and was reported by a general pathologist as follows: "Ruptured infected sebaceous cyst, no evidence of malignancy." Considerable drainage occurred from the boil-like lesion, and new lesions developed