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Image Number 1217 (Cryptococcosis)

Papules,skin coloured

Diagnosis: Cryptococcosis

Site: Face

Sex: M

Age: 38


Description: Small, unbilicated papules

Submitted by: Ted Rosen

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Differential Diagnosis

History: 38 year-old gay male presented with cough and skin lesions on face. Small flesh-colored, umbilicated papules resemble molluscum, but biopsy showed gelatinous type of cryptococcosis with innumerable organisms. Also: chest x-ray positive for nodular infiltrates, consistent with fungal infection. Patient refused bronchoscopy, but sputum subsequently grew C. neoformans. Patient refused therapy and left hospital against medical advice; lost to follow-up. Hospital screening admission labs +HIV.

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