Chronic Arthritis, Vasculitis and Cutaneous Histoplasmosis

Abstract

This is an unusual case of histoplasmosis apparently confined to skin and subcutaneous tissue. The pathologist calls it an example of the adage, “You find what you look for.” The patient was given steroids, first for skin rash and later for rheumatoid arthritis. Leg ulcers were diagnosed as thromboangiitis obliterans and the limb was amputated.