Shrivastava Trilok, Li Lin, Tanwar Sonia, Nasim Rabab, Gullas Vincent, Pescatore Jay, Nelson Michael
Department of Internal Medicine, John H Stroger Hospital of Cook County, Chicago, IL, USA.
Emergency Department, John H Stroger Hospital of Cook County, Chicago, IL, USA.
Case Rep Dermatol Med. 2020 Aug 26;2020:8855572. doi: 10.1155/2020/8855572. eCollection 2020.
Cutaneous blastomycosis is not rare, but progressively enlarging nasal mass as the only presentation with nondiagnostic biopsy results, presence of pulmonary fibrosis, nodules and lymphadenopathy, and urinary sediments, as well as ANA and p-ANCA positivity, can make things more cryptic than expected.
皮肤芽生菌病并不罕见,但以进行性增大的鼻腔肿物为唯一表现且活检结果无法确诊,同时伴有肺纤维化、结节及淋巴结病、尿沉渣,以及抗核抗体(ANA)和抗中性粒细胞胞浆抗体(p-ANCA)阳性,可能会使病情比预期更隐匿。