SYSTEMIC BLASTOMYCOSIS

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Abstract
During the last decade, blastomycosis cutis has become a well-recognized, distinct, clinical and pathologic entity among dermatologists. Although it is not a common disease, it appears to occur more frequently in this vicinity than it does elsewhere. More cases have been reported from Chicago than from any other one locality, and it is largely to the thorough work of our Chicago confrères that we are indebted for our present knowledge of the disease. Prior to the work of Gilchrist and Stokes in 1896, the disease was mistaken for various other conditions that resemble it in certain respects. The three diseases which have given rise to most difficulty in diagnosis are tuberculosis, syphilis and carcinoma. Blastomycosis resembles very closely the verrucous form of tuberculosis and often a definite diagnosis can only be arrived at after microscopic examination of the tissues or the pus. The lesions of blastomycosis resemble somewhat those of

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