Joseph V. Lillis, MD, David Ansdell, BA  Dermatologic Clinics 

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Presentation transcript:

Outbreak of Nontuberculous Mycobacterial Disease in the Central Pacific  Joseph V. Lillis, MD, David Ansdell, BA  Dermatologic Clinics  Volume 29, Issue 1, Pages 9-13 (January 2011) DOI: 10.1016/j.det.2010.09.008 Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 1 Representative lesions. Large, verrucous plaques on leg of patient from Satowan (Chuuk, FSM). Dermatologic Clinics 2011 29, 9-13DOI: (10.1016/j.det.2010.09.008) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 2 Index case from Satowanese patient who was evaluated while he was living in Portland, OR. Dermatologic Clinics 2011 29, 9-13DOI: (10.1016/j.det.2010.09.008) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 3 Histopathologic sections from lesional skin demonstrating irregular epidermal and follicular hyperplasia with a dense, nodular, mixed infiltrate consisting of epithelioid histiocytes, neutrophils, eosinophils, lymphocytes, and plasma cells with a thickened and fibrotic papillary dermis. Dermatologic Clinics 2011 29, 9-13DOI: (10.1016/j.det.2010.09.008) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 4 One of two large water-filled bomb crater lakes in the center of Satowan (Chuuk, FSM) where people swim and bathe. Dermatologic Clinics 2011 29, 9-13DOI: (10.1016/j.det.2010.09.008) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 5 Lesion on right foot of patient from the island of Houk (Chuuk, FSM). Dermatologic Clinics 2011 29, 9-13DOI: (10.1016/j.det.2010.09.008) Copyright © 2011 Elsevier Inc. Terms and Conditions