Case #383 – November 2014

A patient presented to a local hospital with encrusted lesions on his arms and legs. A skin scraping was made and examined unstained at 40x magnification. Figures A and B show what was observed by the attending microbiologist. The images were sent to the DPDx Team for diagnostic assistance. What is your diagnosis? Based on what criteria?

Figure A

Figure B

This case and images were kindly provided by the Westchester Medical Center, Valhalla, NY.

Images presented in the DPDx case studies are from specimens submitted for diagnosis or archiving. On rare occasions, clinical histories given may be partly fictitious.

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