Subcorneal pustular dermatosis associated with coccidioides immitis

Sanjana Iyengar, Cynthia Chambers, Shurong Chang, Maxwell A Fung, Victoria R. Sharon

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Coccidioidomycosis (AKA “Valley fever”) is a primary pulmonary infection via airborne spores released from coccidioides immitis in the soil. Reactive cutaneous eruptions resulting from the pulmonary infection are difficult to diagnose because skin biopsies do not contain the organism. We present an adolescent male with primary pulmonary C.immitis infection manifesting with biopsy proven subcorneal pustular dermatosis. Serological studies revealed increasingly positive titers for coccidioidomycosis and symptoms resolved promptly following initiation of systemic antifungal therapy. Our unique case presentation illustrates subcorneal pustular dermatosis as a reactive eruption owing to primary pulmonary coccidioidomycosis. An association between the two conditions warrants further investigation.

Original languageEnglish (US)
Article number3
JournalDermatology Online Journal
Issue number8
StatePublished - Aug 1 2015


  • Coccidioidomycosis
  • Subcorneal pustular dermatosis

ASJC Scopus subject areas

  • Dermatology


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