A 44-year-old male construction worker presented to the dermatology clinic with nonpruritic skin lesions over his face, chest, back, arms, and legs. Six months earlier, he had fever, cough, and vomiting for 1 week. Skin biopsy showed pseudoepitheliomatous hyperplasia, intraepidermal neutrophilic abscesses, and round yeast forms with broad-based budding. What is the likely diagnosis? a) Basal cell carcinoma b) Giant keratoacanthoma c) Pyoderma gangrenosum d) Disseminated cutaneous blastomycosis e) Cutaneous leishmaniasis source: nejm.org
D. A and B are both localized, C and E have a different appearance.