PMC6011143_01
Cryptococcal cellulitis, right forearm.
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On admission he was febrile and dyspneic and had cellulitis with pus-draining sinuses on the right forearm resembling bacterial infection (Fig. 1), and ipsilateral tender axillary lymphadenopathy.
Abdominal cutaneous lesions diagnosed as psoriasis.
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He also had multiple psoriatic-like, round superficial lesions on the limbs and trunk (Fig. 2, Fig. 3) and thick and scaly skin on both palms.
Reactivation of cryptococcal cutaneous infection, right forearm.
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The weakness and kidney function gradually improved but after two days, the right forearm primary lesion became more erythematous and nodular (Fig. 4).
New lesion on left forearm.
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After two more days, a bulla within an existing skin hematoma appeared on the left forearm in an area of a preexisting peripheral venous access (Fig. 5).
Resolution of skin lesions on the abdomen.
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During this hospitalization we noticed that all the 'psoriatic' skin lesions disappeared (Fig. 6), as well as his proteinuria.
- Left forearm lesion after 3 weeks.
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Left forearm lesion after 25 weeks.
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