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Marco Cusini, MD; Paola Cagliani, MD; Ramon Grimalt, MD; Gianluca Tadini, MD; Elvio Alessi, MD
First Department of Dermatology and Pediatric Dermatology University of Milan Via Pace, 9 20122 Milan, Italy

Marco Fasan, MD
II Division of Infectious Diseases L Sacco Hospital Via GB Grassi 78 20157 Milan, Italy

Arch Dermatol. 1991;127(12):1848-1849.

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

To the Editor.

—We report a case of cutaneous cryptococcosis in a homosexual man with the acquired immunodeficiency syndrome (AIDS). This case is interesting because cutaneous lesions represented the only manifestation of cryptococcosis and the first manifestation of AIDS.

A 48-year-old homosexual man, seropositive for the human immunodeficiency virus since 1987 (stage III, scale of the Centers for Disease Control, Atlanta, Ga), had been receiving zidovudine therapy since May 1990. In June 1990, he was referred to our center with a crusted lesion on the scalp that had developed in about 1 month. After removal of the crust, a round ulcer with an irregular border was visible (Fig 1).

Partial regression was obtained with oral and local antibiotic therapy in about 2 weeks, but, 1 month later, the primary ulcer enlarged, and several secondary ulcerated nodules appeared on the scalp, face, trunk, and upper limbs.

Skin specimens stained with hematoxylin-eosin, . . . [Full Text PDF of this Article]

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