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October 1963


Arch Dermatol. 1963;88(4):465-467. doi:10.1001/archderm.1963.01590220097014

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Blastomycosis. Presented by Dr. George H. Curtis and Dr. Leonard G. Katz.

History.—A 38-year-old steel worker was admitted to the Cleveland Clinic Hospital on July 6, 1962. He presented a four-month history of slowly enlarging and ulcerating lumps on his skin. The first lesion began on the left foot; then another appeared on the right foot. These were followed by similar nodules on his back and, most recently, on his face. His general health remained good.

Physical Examination.—There was a 3 cm, elevated, centrally ulcerated tumor on the fourth toe of the left foot. A similar 1 cm lesion was present on the sole of the right foot in the first web space. There was a recent biopsy scar on the upper right back, studded with peripheral, erythematous, intracutaneous nodules. There were three facial lesions consisting of a quarter-sized, raised, flat-topped tumor with a crusted top on

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