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Cutaneous ulcer in an immunosuppressed patient with adult onset Still's disease: primary cutaneous histoplasmosis?* * Study conducted at the Rheumatology Outpatient Clinic of the São Lucas Hospital of the Pontifical Catholic University of Rio Grande do Sul (PUC-RS) - Porto Alegre (RS), Brazil.

Histoplasmosis is caused by the dimorphic fungus Histoplasma capsulatum.Primary infection occurs through inhalation of spores from the air. Immunocompetent individuals are usually asymptomatic, but may develop pulmonary disease. Immunocompromised patients tend to present systemic histoplasmosis with cutaneous lesions occurring by secondary invasion. In this case report, we describe a probable primary cutaneous histoplasmosis (PCH) in a patient with adult onset Still's disease under immunosuppression.

Histoplasmosis; Immunocompromised host; Still's disease, adult-onset


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