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Arch Dermatol. 2005;141:1035-1040.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Primary cutaneous aspergillosis.

MICROSCOPIC FINDINGS AND CLINICAL COURSE

At all levels of the dermis, there were dilated blood vessels that were engorged with erythrocytes (Figure 2). Areas of necrosis were present in the overlying epidermis. In the interstitial dermis, there was a sparse infiltrate composed of mononuclear cells associated with hemorrhage. On hematoxylin-eosin staining, mycelia were identified within the lumina and infiltrating the walls of vessels near the dermal-subcutaneous border (Figure 3). Gomori methenamine silver–stained sections revealed abundant mycelial forms throughout the dermis and subcutis (Figure 4). The hyphae were septate, measuring 3 to 5 µm in width, with dichotomous, acute-angle branching. A preliminary diagnosis of angioinvasive aspergillosis was made. Amphotericin B therapy was initiated, but the patient died of multiorgan failure due to presumed fungal sepsis 1 day later. Culture of the skin biopsy specimen later yielded Aspergillus flavus.

Figure appears in full text version. Figure 2.

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DISCUSSION

Aspergillus species are ubiquitous saprophytic . . . [Full Text of this Article]

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Arch Dermatol. 2005;141(8):1035-1040.
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