Purple patches in an immunocompromised patient: A report of secondary disseminated cutaneous mucormycosis in a man with chronic lymphocytic leukemia

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Abstract

A 60-year-old man with chronic lymphocytic leukemia developed a deeply violaceous annular patch with a halo of erythema on the right thigh during hospitalization for neutropenic fever. Associated symptoms included chronic cough and fatigue. Bilateral lung opacities with hilar lymphadenopathy were noted on chest computed tomography scan. Punch biopsy and tissue culture confirmed a diagnosis of secondary disseminated cutaneous mucormycosis. Although rare, physicians should include mucormycosis in the differential diagnosis of purpuric patches in immunosuppressed patients. Prompt skin biopsy and tissue culture may optimize the success of treatment.

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Iyengar, S., Chambers, C. J., Millsop, J. W., Fung, M. A., & Sharon, V. R. (2016). Purple patches in an immunocompromised patient: A report of secondary disseminated cutaneous mucormycosis in a man with chronic lymphocytic leukemia. Dermatology Online Journal, 23(3). https://doi.org/10.5070/d3233034288

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